Dual Uncommon Atrioventricular Connections in a Patient With Wolff-Parkinson-White Syndrome

IF 2.6 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiovascular Electrophysiology Pub Date : 2025-02-05 DOI:10.1111/jce.16596

Devendra Singh Bisht, Kamal Kishor

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Abstract

Background

Accessory pathways (APs) from the atrial appendage are uncommon and primarily described on the right side. Furthermore, connections involving the left atrial appendage (LAA) are even rarer.

Methods and Results

This case report describes a 27-year-old female with recurrent supraventricular tachycardia (SVT) due to Wolff-Parkinson-White (WPW) syndrome. Electrophysiological evaluation identified dual atrioventricular (AV) connections: one from the LAA and another from the left coronary cusp (LCC).

Conclusion

The electrical characteristics of WPW syndrome need a deeper understanding. The retrograde conduction can persist even after successfully eliminating the antegrade conduction.

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Wolff-Parkinson-White综合征患者的双罕见房室连接。

背景：来自心房附件的辅助通路（APs）并不常见，主要出现在右侧。此外，涉及左心耳（LAA）的连接更为罕见。方法和结果：本病例报告描述了一位27岁女性因沃尔夫-帕金森-怀特（WPW）综合征而复发性室上性心动过速（SVT）。电生理评估发现双房室（AV）连接：一个来自LAA，另一个来自左冠状动脉尖（LCC）。结论：WPW综合征的电学特征有待进一步认识。即使成功地消除了顺行传导，逆行传导仍然存在。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cardiovascular Electrophysiology 医学-心血管系统

CiteScore

5.20

自引率

14.80%

发文量

433

审稿时长

3-6 weeks

期刊介绍： Journal of Cardiovascular Electrophysiology (JCE) keeps its readership well informed of the latest developments in the study and management of arrhythmic disorders. Edited by Bradley P. Knight, M.D., and a distinguished international editorial board, JCE is the leading journal devoted to the study of the electrophysiology of the heart.