Document Detail


Successful sequential radiofrequency catheter ablation of anatomically discrete antegrade and retrograde accessory pathway conduction in the Wolff-Parkinson-White syndrome.
MedLine Citation:
PMID:  1551269     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Histopathologically, accessory atrioventricular (AV) pathways comprise tiny strands of working myocardium that traverse the AV groove and link between the atrial and ventricular myocardium. Antegrade and retrograde conduction in bidirectional accessory pathways have generally been considered to occur along the same fibers. This report details the successful catheter ablation of a left free wall accessory pathway with radiofrequency energy. Antegrade and retrograde conduction of the pathway were abolished sequentially by separate episodes of energy delivered at anatomically discrete though closely adjacent sites along the mitral annulus. This finding raises the interesting possibility of anatomic "compartmentalization" of antegrade and retrograde conduction along an accessory pathway.
Authors:
Y T Tai; C P Lau; J P Li
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical cardiology     Volume:  15     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-04-28     Completed Date:  1992-04-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  211-6     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Hong Kong.
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MeSH Terms
Descriptor/Qualifier:
Adult
Electrocardiography
Electrocoagulation*
Heart Conduction System / physiopathology*,  surgery
Humans
Male
Radio Waves / therapeutic use*
Wolff-Parkinson-White Syndrome / pathology,  physiopathology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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