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Successful Slow Pathway Ablation in a Patient with a Rare Unroofed Type Coronary Sinus
Author(s) -
KAWATA HIRO,
SATOMI KAZUHIRO,
YAMAGATA KENICHIRO,
KAMAKURA SHIRO
Publication year - 2013
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2011.03155.x
Subject(s) - medicine , coronary sinus , persistent left superior vena cava , cardiology , ablation , lesion , tachycardia , surgery
We report a case of atrioventricular nodal reentrant tachycardia coexistent with a coronary sinus (CS) anomaly. During a standard electrophysiological study, the CS could not be cannulated despite several attempts. A persistent left superior vena cava angiogram through the left brachial vein confirmed an unroofed type CS. Successful slow pathway ablation from the right posterior paraseptum lesion was achieved using an anatomical approach .