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Radiofrequency Catheter Ablation of Two Right Mahaïm-like Accessory Pathways in a Patient with Ebstein's Anomaly
Authors:Rolf Franck Berntsen  Knut T. Gjesdal  Halfdan Aass  Eivind S. Platou  Torstein Hole  Otto M. Orning
Affiliation:(1) The Arrhythmia Centre, Department of Cardiology, Ullevål University Hospital, Oslo, Norway;(2) Medical Department B, National Hospital, Oslo, Norway;(3) Section of Cardiology, Department of Medicine, Central Hospital of Møre and Romsdal, Ålesund, Norway
Abstract:A 17-year-old woman with Ebstein's anomaly and recurrent episodes of antidromic tachycardia with two distinct morphologies is described. The tachycardias were produced by two separate Mahaïm-like accessory pathways. These were localized by their activation potentials at the anterolateral ventricular margin of the tricuspid annulus and ablated in a single session using radiofrequency current.
Keywords:supraventricular tachycardia  atrioventricular reciprocating tachycardia  multiple Mahaï  m-like accessory pathways  radiofrequency catheter ablation  Ebstein's anomaly
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