Amara W, Tonet J
Unité de rythmologie, GHI Le Raincy-Montfermeil, France.
Ann Cardiol Angeiol (Paris). 2011 Nov;60(5):285-9. doi: 10.1016/j.ancard.2011.08.001. Epub 2011 Aug 26.
The ablation of parahisian accessory pathways is a challenge because of the risk of atrioventricular block. In this observation, we describe the case of an eleven-year-old girl presenting a parahisian accessory pathway treated successfully by cryoablation. It is a pediatric case, in which, the accessory pathway and the nodo-hisian conduction pathway where superposed in anatomic and electrophysiological terms. Cryoablation should be the method of choice of ablation in pediatric patients.
由于存在房室传导阻滞的风险,希氏束旁旁路消融术是一项具有挑战性的操作。在本观察中,我们描述了一名11岁女孩希氏束旁旁路的病例,该病例通过冷冻消融术成功治疗。这是一例儿科病例,其中旁路与结-希氏传导通路在解剖学和电生理学方面相互重叠。冷冻消融术应是儿科患者消融治疗的首选方法。