Left-sided accessory pathway with ostial atresia of the coronary sinus: a case report

Pacing Clin Electrophysiol. 2008 Jan;31(1):129-30. doi: 10.1111/j.1540-8159.2007.00938.x.

Abstract

We report a case of atrioventricular (AV) reentrant tachycardia with ostial atresia of the coronary sinus (CS). On levophase coronary venogram, dual anomalous venous drainage into both atria was seen; no ostium of the CS and no persistent left superior vena cava were noted. Based on mapping, radiofrequency (RF) energy was applied at the mitral ring and the bypass tract was eliminated. Eight months after the procedure, the patient has remained completely symptom-free.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Catheter Ablation*
  • Coronary Angiography
  • Coronary Sinus / diagnostic imaging
  • Coronary Sinus / pathology*
  • Coronary Vessel Anomalies / diagnostic imaging
  • Electrocardiography
  • Humans
  • Male
  • Tachycardia, Atrioventricular Nodal Reentry / diagnostic imaging
  • Tachycardia, Atrioventricular Nodal Reentry / pathology*
  • Tachycardia, Atrioventricular Nodal Reentry / surgery*