open access

Vol 15, No 2 (2008)
Case Reports
Published online: 2008-02-21
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Early septal activation, successful lateral ablation

Hamid Reza Bonakdar, Amir Farjam Fazelifar, Zahra Emkanjoo, Majid Haghjoo, Abolfath Alizadeh, Mohammad Tayyebi, Mohammad Ali Sadr-Ameli
Cardiol J 2008;15(2):181-185.

open access

Vol 15, No 2 (2008)
Case Reports
Published online: 2008-02-21

Abstract

The coronary sinus activation pattern is an important clue for the detection of arrhythmia mechanisms and/or localization of accessory pathways. Any change in this pattern during radiofrequency ablation should be evaluated carefully to recognize the presence of another accessory pathway or innocence of the accessory pathway during arrhythmia. Intra-atrial conduction block can change the coronary sinus activation pattern. Negligence regarding this phenomenon can cause irreversible complications. Here we describe a case with left lateral accessory pathway conduction in which intra-atrial conduction block completely reversed the coronary sinus activation pattern. (Cardiol J 2008; 15: 181-185)

Abstract

The coronary sinus activation pattern is an important clue for the detection of arrhythmia mechanisms and/or localization of accessory pathways. Any change in this pattern during radiofrequency ablation should be evaluated carefully to recognize the presence of another accessory pathway or innocence of the accessory pathway during arrhythmia. Intra-atrial conduction block can change the coronary sinus activation pattern. Negligence regarding this phenomenon can cause irreversible complications. Here we describe a case with left lateral accessory pathway conduction in which intra-atrial conduction block completely reversed the coronary sinus activation pattern. (Cardiol J 2008; 15: 181-185)
Get Citation

Keywords

accessory pathway; intra-atrial conduction block; ablation

About this article
Title

Early septal activation, successful lateral ablation

Journal

Cardiology Journal

Issue

Vol 15, No 2 (2008)

Pages

181-185

Published online

2008-02-21

Bibliographic record

Cardiol J 2008;15(2):181-185.

Keywords

accessory pathway
intra-atrial conduction block
ablation

Authors

Hamid Reza Bonakdar
Amir Farjam Fazelifar
Zahra Emkanjoo
Majid Haghjoo
Abolfath Alizadeh
Mohammad Tayyebi
Mohammad Ali Sadr-Ameli

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