Fast–slow atrioventricular nodal re‐entrant tachycardia incorporating superior and inferolateral left atrial slow pathways

Author:

Matsumoto Kazuhisa1ORCID,Mori Hitoshi1ORCID,Nagashima Koichi2ORCID,Kaneko Yoshiaki3ORCID,Kato Ritsushi1

Affiliation:

1. Department of Cardiology Saitama Medical University International Medical Center Hidaka‐city Saitama Japan

2. Department of Medicine, Division of Cardiology Nihon University School of Medicine Bunkyo City Tokyo Japan

3. Department of Cardiovascular Medicine, Graduate School of Medicine Gunma University Maebashi Gunma Japan

Abstract

AbstractBackgroundA 70‐year‐old man revealed a rare type of atrioventricular nodal re‐entrant tachycardia (AVNRT) involving distinct retrograde pathways, superior slow pathway, and inferolateral left atrial slow pathway.ResultRadiofrequency ablation was successfully performed on the noncoronary cusp and in the left atrium, respectively, to eliminate the tachycardias.Discussion and ConclusionDue to the anomalous electrical conduction patterns, careful diagnosis and ablation strategies were necessary to avoid the risk of atrioventricular block. These findings underscore the diversity and complexity of AVNRT and highlight the importance of tailored therapeutic approaches.

Publisher

Wiley

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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