Yamada T, Okamoto M, Sueda T, Hashimoto M, Nomura K, Kajiyama G
Department of Cardiology, Hiroshima Prefectural Hiroshima Hospital.
Intern Med. 1996 Oct;35(10):791-4. doi: 10.2169/internalmedicine.35.791.
Successful catheter ablation for a patient with both Wolff-Parkinson-White syndrome and sustained atrial tachycardia has not been reported. We describe a patient with Wolff-Parkinson-White syndrome associated with sustained atrial tachycardia, in whom an atrioventricular accessory pathway and an intra-atrial reentrant circuit were successfully ablated in a single session. Radiofrequency catheter ablation for the left-sided atrioventricular accessory pathway was performed via the trans-septal approach. Catheter ablation for the atrial tachycardia was achieved in the right atrium where the earliest and fractionated atrial activation was obtained. Catheter ablation for multiple lesions during a single session is feasible.
尚未有关于成功对患有预激综合征合并持续性房性心动过速的患者进行导管消融的报道。我们描述了一名患有预激综合征合并持续性房性心动过速的患者，在该患者中，一次手术成功消融了一条房室旁路和一个房内折返环。通过经房间隔途径对左侧房室旁路进行了射频导管消融。在最早出现心房激动且心房激动碎裂的右心房实现了对房性心动过速的导管消融。一次手术中对多个病灶进行导管消融是可行的。
