Successful ablation of coexistent Mahaim tachycardia and right posterior accessory pathway in a patient with Ebstein's anomaly

Göl E. E., AKDENİZ C., TUZCU V.

Turk Kardiyoloji Dernegi Arsivi, cilt.44, sa.5, ss.423-426, 2016 (Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 44 Sayı: 5
  • Basım Tarihi: 2016
  • Doi Numarası: 10.5543/tkda.2015.31624
  • Dergi Adı: Turk Kardiyoloji Dernegi Arsivi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.423-426
  • Anahtar Kelimeler: Accessory pathway, Ebstein's anomaly, Mahaim pathway
  • İstanbul Medipol Üniversitesi Adresli: Evet

Özet

The atriofascicular accessory pathway (AP), known as the Mahaim pathway, is a rare form of pre-excitation, comprising less than 3% of all APs. Mahaim AP is characterized by decremental, anterograde-only conduction, and antidromic tachycardia with left bundle branch morphology. Prevalence of Mahaim AP in Ebstein's anomaly is significantly high. In addition, combination of Wolff- Parkinson-White (WPW) syndrome and Mahaim AP in patients with Ebstein's anomaly has been reported. Presently described is the coexistence of Mahaim AP and manifest WPW syndrome in a patient with Ebstein's anomaly, who was successfully ablated without fluoroscopy.