Successful ablation of a right epicardial accessory pathway via the
right ventricular diverticulum in a patient with Wolff-Parkinson-White
syndrome
Abstract
Introduction: We describe one rare case of successful ablation
of a right epicardial accessory pathway (AP) via the right ventricular
diverticulum in a patient with Wolff-Parkinson-White syndrome.
Methods: A 42-year-old woman being referred to the hospital for
a catheter ablation of a Wolf-Parkinson White syndrome. Earliest
activation was shown to be present in the region of the tricuspid
annulus. However, ablation had no effect on the AP. Results: We
decided to do a selected angiography, in which a big diverticulum near
to the right tricuspid annulus was shown to be present. Ablation in this
region successfully repressed the AP without any recurrences within a
follow-up period of 12 months. Conclustion: The ventricular
diverticulum mediated AP is a novel variant of pre-excitation. It can
serve as an anatomical substrate of supraventricular tachycardia, and
can be ablated endocardially using an irrigation tip catheter within the
diverticulum.