Key result
Epicardial radiofrequency ablation via the coronary sinus successfully eliminated a left-sided accessory pathway in a 23-year-old man, with no WPW recurrence at 6 months.
Case Report (n=1)
No
Epicardial mapping and radiofrequency ablation via the coronary sinus can successfully eliminate left-sided accessory pathways in WPW syndrome when standard endocardial approaches fail.
Supports coronary sinus ablation for refractory left-sided pathways in WPW; hypothesis-generating and requires prospective validation before practice change.
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Myrda et al. (2018) conducted a case report in Wolf-Parkinson-White syndrome (n=1). Radiofrequency ablation via epicardial approach was evaluated on Elimination of accessory pathway and WPW syndrome recurrence. Epicardial radiofrequency ablation via the coronary sinus successfully eliminated a left-sided accessory pathway in a 23-year-old man, with no WPW recurrence at 6 months.
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