Catheter Ablation of The Posterior-Septal Accessory Pathway in Patients with Wolf-Parkinson-White Syndrome Initially Present in Aberrant Atrial Fibrillation

Abstract

A 50-year-old man with no prior medical history went to the emergency department complaining of persistent palpitations, pressure in his chest, and shortness of breath with an EKG that revealed atrial fibrillation with aberrancy. Patient became hemodynamically unstable and was cardiovert. Post cardioversion EKG showed diffuse ST depressions and he was sent to the cath lab, The patient’s post-catheterization ekg displayed a short PR interval and a delta wave compatible with Wolff Parkinson White syndrome. Patient was treated with postero-septal catheter ablation. After his symptoms subsided, the patient was sent home.