右侧心脏的宽QRS波心动过速：诊断与治疗挑战
Wide Complex Tachycardia in a Right-Sided Heart: Diagnostic and Therapeutic Challenges.
作者信息
Shakir Aamina, Dominic Paari, Amorn Allen, Kasabali Basel
机构信息
Louisiana State University Health Sciences Center-Shreveport, Shreveport, Louisiana, USA.
University of Iowa Health Care, Iowa City, Iowa, USA.
出版信息
JACC Case Rep. 2023 Jun 19;18:101922. doi: 10.1016/j.jaccas.2023.101922. eCollection 2023 Jul 19.
Dextroposition is a rare cardiac malformation defined as heart shift to right of midline. ECG findings vary with degree of displacement within the chest cavity. We report the second known case of dextroposition with accessory pathway (posteroseptal in our patient), presenting as pre-excited atrial tachycardia. Abnormal anatomy complicates pathway localization/ablation. ().
右位心是一种罕见的心脏畸形，定义为心脏向中线右侧移位。心电图表现因胸腔内移位程度而异。我们报告了第二例已知的伴有旁路（我们的患者为后间隔旁路）的右位心病例，表现为预激性房性心动过速。异常的解剖结构使旁路定位/消融变得复杂。（）
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