This report demonstrates complex AVRT circuits utilizing multiple accessory pathways in the absence of normal His-Purkinje conduction.
Three atrioventricular reciprocating tachycardias (AVRTs) using 3 accessory pathways (APs) occurred with the His bundle eliminated by the previous ablation. Two AVRTs using 2 right APs rotated reversely, and the other AVRT was one with a retrograde conduction through the left AP and anterograde conduction through the 2 right APs.
Takumi Yamada (Mon,) studied this question.