This report demonstrates complex AVRT circuits utilizing multiple accessory pathways in the absence of normal His-Purkinje conduction.
Warrants thorough mapping in AVRT without His conduction; extends known diversity of multiple AP reentrant circuits.
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.
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Takumi Yamada (2026) studied this question.
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