Abstract
Permanent form of junctional reciprocating tachycardia (PJRT) is an uncommon form of atrioventricular re-entrant tachycardia due to an accessory pathway characterized by slow and decremental retrograde conduction. The majority of accessory pathways in PJRT are localized in the posteroseptal zone. Despite the high success rate, failure may occur during endocardial radiofrequency catheter ablation due to epicardial insertion of the accessory pathway. We report a case of PJRT in a 25-year-old man in whom the accessory pathway was located epicardially in the posteroinferior region and ablated from within the middle cardiac vein by radiofrequency catheter ablation.
Similar content being viewed by others
References
L Aguinaga J Primo I Anguera L Mont M Valentino P Brugada J Brugada (1998) ArticleTitleLong-term follow-up in patients with the permanent form of junctional reciprocating tachycardia treated with radiofrequency ablation Pacing Clin Electrophysiol 21 2073–2078 Occurrence Handle9826859 Occurrence Handle1:STN:280:DyaK1M%2FksVSqtw%3D%3D
HT Shih WM Miles LS Klein JE Hubbard DP Zipes (1994) ArticleTitleMultiple accessory pathways in the permanent form of junctional reciprocating tachycardia Am J Cardiol 73 361–367 Occurrence Handle8109550 Occurrence Handle1:STN:280:DyaK2c7lt1KitQ%3D%3D Occurrence Handle10.1016/0002-9149(94)90009-4
BS Ticho JP Saul JE Hulse W De J Lulu EP Walsh (1992) ArticleTitleVariable location of accessory pathways associated with the permanent form of junctional reciprocating tachycardia and confirmation with radiofrequency ablation Am J Cardiol 70 1559–1564 Occurrence Handle1466323 Occurrence Handle1:STN:280:DyaK3s7gt12guw%3D%3D Occurrence Handle10.1016/0002-9149(92)90457-A
K Okumura RW Henthorn AE Epstein VJ Plumb AL Waldo (1986) ArticleTitle“Incessant” atrioventricular (AV) reciprocating tachycardia utilizing left lateral AV bypass pathway with a long retrograde conduction time Pacing Clin Electrophysiol 9 332–342 Occurrence Handle2423975 Occurrence Handle1:STN:280:DyaL283jt1OhsA%3D%3D
IC Chen SJ Yeh MS Wen FC Lin D Wu (1995) ArticleTitleRadiofrequency ablation therapy in concealed left free wall accessory pathway with decremental conduction Chest 107 41–45 Occurrence Handle7813307 Occurrence Handle1:STN:280:DyaK2M7ht1Kmtw%3D%3D
F Gaita M Haissaguerre C Giustetto B Fischer R Riccardi E Richiardi M Scaglione F Lamberti JF Warin (1995) ArticleTitleCatheter ablation of permanent junctional reciprocating tachycardia with radiofrequency current J Am Coll Cardiol 25 648–654 Occurrence Handle7860909 Occurrence Handle1:STN:280:DyaK2M7msVyltQ%3D%3D Occurrence Handle10.1016/0735-1097(94)00455-Y
BK O’Connor CL Case PC Gillette (1997) ArticleTitleRadiofrequency ablation of a posteroseptal accessory pathway via the middle cardiac vein in a six-year-old child Pacing Clin Electrophysiol 20 2504–2507 Occurrence Handle9358496 Occurrence Handle1:STN:280:DyaK1c%2Fitlemtg%3D%3D
JJ Langberg KC Man VR Vorperian B Williamson SJ Kalbfleisch SA Strickberger JD Hummel F Morady (1993) ArticleTitleRecognition and catheter ablation of subepicardial accessory pathways J Am Coll Cardiol 22 1100–1104 Occurrence Handle8409047 Occurrence Handle1:STN:280:DyaK2c%2Fhtl2nsg%3D%3D Occurrence Handle10.1016/0735-1097(93)90422-W
KF Kusano H Morita Y Fujimoto E Hirose T Ohe (2001) ArticleTitleCatheter ablation of an epicardial accessory pathway via the middle cardiac vein guided by monophasic action potential recordings Europace 3 164–167 Occurrence Handle11333058 Occurrence Handle1:STN:280:DC%2BD3MvpsVCnuw%3D%3D Occurrence Handle10.1053/eupc.2001.0161
WM Miles DP Zipes (2000) Atrioventricular reentry and variants: mechanisms, clinical features and management DP Zipes J Jalife (Eds) Cardiac electrophysiology: from cell to bedside Saunders Philadelphia 497–500
BB Lerman M Greenberg ED Overholt CD Swerdlow RT Smith SuffixJr TD Sellers JP DiMarco (1987) ArticleTitleDifferential electrophysiologic properties of decremental retrograde pathways in long RP′ tachycardia Circulation 76 21–31 Occurrence Handle3594769 Occurrence Handle1:STN:280:DyaL2s3ksVOrsQ%3D%3D
M Haissaguerre F Gaita B Fischer P Egloff P Lemetayer JF Warin (1992) ArticleTitleRadiofrequency catheter ablation of left lateral accessory pathways via the coronary sinus Circulation 86 1464–1468 Occurrence Handle1423960 Occurrence Handle1:STN:280:DyaK3s%2FkslSqsA%3D%3D
N Funabashi M Yonezawa Y Iesaka H Umekita N Yanagawa Y Matsumoto K Yoshida I Komuro (2003) ArticleTitleComplications of pulmonary vein isolation by catheter ablation evaluated by ECG-gated multislice computed tomography Heart Vessels 18 220–223 Occurrence Handle14520492 Occurrence Handle10.1007/s00380-003-0714-z
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Amasyali, B., Kose, S., Aytemir, K. et al. A permanent junctional reciprocating tachycardia with an atypically located accessory pathway successfully ablated from within the middle cardiac vein. Heart Vessels 21, 188–191 (2006). https://doi.org/10.1007/s00380-005-0848-2
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s00380-005-0848-2