Open AccessAn atriofascicular tract in a girl with Ebstein's anomaly and right bundle block
Author(s) -
Покушалов Евгений Анатольевич,
Туров Алексей Николаевич,
Шугаев Павел Леонидович,
Лосик Денис Владимирович,
Шабанов Виталий Викторович
Publication year - 2018
Publication title -
patologiâ krovoobraŝeniâ i kardiohirurgiâ/patologiâ krovoobrašeniâ i kardiohirurgiâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 3
eISSN - 2500-3119
pISSN - 1681-3472
DOI - 10.21688/1681-3472-2012-1-79-83
Subject(s) - ebstein's anomaly , medicine , orthodromic , sinus rhythm , cardiology , right bundle branch block , left bundle branch block , catheter ablation , ablation , tricuspid valve , anatomy , electrocardiography , atrial fibrillation , heart failure , stimulation
Described in this article is a clinical case of a 14-year girl with Ebstein's anomaly and a complex preexitation syndrome (two atrioventricular pathways and a true atriofascicular Mahaim's tract). The atriofascicular tract was involved in antidromic and orthodromic tachycardias. The Л-wave was absent initially, because the spontaneous right bundle block and the comparable AV conduction velocity imitated a normal sinus rhythm. All accessory pathways were eliminated successfully during catheter ablation.