Vol. 16 No. 1 (2012)
CASE REPORTS

An atriofascicular tract in a girl with Ebstein's anomaly and right bundle block

Ye. Pokushalov
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
A. Turov
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
P. Shugaev
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
D. Losik
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
V. Shabanov
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio

Published 2012-03-28

Keywords

  • EBSTEIN''S ANOMALY,
  • CATHETER ABLATION,
  • MAHAIM''S TRACT,
  • ATRIOFASCICULAR TRACT

How to Cite

Pokushalov, Y., Turov, A., Shugaev, P., Losik, D., & Shabanov, V. (2012). An atriofascicular tract in a girl with Ebstein’s anomaly and right bundle block. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 16(1), 79–83. https://doi.org/10.21688/1681-3472-2012-1-79-83

Abstract

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.

References

  1. Cappato R., Schluter M., Weiss C. et al. // Circulation. 1996. V. 94. P. 376-383.
  2. Chauvaud S.M., Brancaccio G., Carpentier A.F. // Ann. Thorac. Surg. 2001. V. 71, № 5. P. 1547-1552.
  3. De Lemos J.A., Delacretaz E., Piana R.N. et al. // Circulation. 1999. V. 100. P. 1757-1759.
  4. Ho S.Y., Goltz D., McCarthy K. et al. // Heart. 2000. V. 83. P. 444-449.
  5. Mahaim I. // Am. Heart J. 1947. V. 33. P. 651-653.
  6. Misaki T., Watanabe G., Iwa T. et al. // J. Thorac. Cardiovasc. Surg. 1995. V. 110. P. 1702-1707.
  7. Okishige K. et al. // Int. J. Cardiol. 1997. V. 60. P.171-180.
  8. Reich J.D., Auld D., Hulse E. et al. // J. Cardiovasc. Electrophysiol. 1998. V. 9. P. 1370-1377.
  9. Rossi L., Thiene G. // Am. J. Cardiol. 1984. V. 53. P. 332-334.