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March 27, 2023Journal of Medical Case ReportsOpen Access

Multiple accessory pathways coexisting with a persistent left superior vena cava: a case report

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Key result

Radiofrequency catheter ablation successfully eliminated three accessory pathways in a patient with persistent left superior vena cava, with no symptom recurrence over 12 months.

Why the study?

Cases of Wolff-Parkinson-White syndrome with multiple accessory pathways are rare, and their simultaneous presence with a persistent left superior vena cava had not been reported.

Population

A 56-year-old Japanese man with palpitations, multiple accessory pathways, and persistent left superior vena cava

Design

Case report

Authors

TUTetsuya UemuraOita UniversityHKHidekazu KondoOtsuka (Japan)TSTetsuji ShinoharaElectrophysiology

Discussion

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Implication

May inform rare PLSVC cases; leaves open generalizability from this single report.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 56-year-old Japanese man with a 5-year history of palpitations, multiple accessory pathways, and persistent left superior vena cava, followed for 12 months after ablation.
I
Intervention
Radiofrequency catheter ablation of three accessory pathways located in the left lateral wall, anterolateral wall, and posteroseptal region.
O
Outcome
Elimination of all accessory pathways and resolution of palpitation symptoms.

This case report provides the first documented evidence of multiple accessory pathways coexisting with a persistent left superior vena cava, which were successfully treated with radiofrequency catheter ablation.

Cite This Study

Uemura et al. (2023) conducted a case report in Wolff-Parkinson-White syndrome with multiple accessory pathways and persistent left superior vena cava (n=1). Radiofrequency catheter ablation was evaluated on Elimination of accessory pathways and symptoms. Radiofrequency catheter ablation successfully eliminated three accessory pathways in a patient with persistent left superior vena cava, with no symptom recurrence over 12 months.

synapsesocial.com/papers/6a8823d69a71e8b12ff4d34fhttps://doi.org/10.1186/s13256-023-03865-6

Topics

Echocardiography
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Accessory Pathway Associated with an Anomalous Coronary Vein in a Patient with Wolff‐Parkinson‐White Syndrome2001 · 27 citations
  2. 2Radiofrequency ablation of multiple accessory pathways2002 · 56 citations
  3. 3Bundle‐Branch Block with Short P‐R Interval in Healthy Young People Prone to Paroxysmal Tachycardia2006 · 141 citations
  4. 4A simple method to ablate left-sided accessory pathways in a patient with coronary sinus ostial atresia and persistent left superior vena cava: A case report2016 · 1 citations
  5. 5Supraventricular tachyarrhythmias in patients with a persistent left superior vena cava2017 · 26 citations