This is the first report of successful radiofrequency catheter ablation of an accessory pathway in a patient with both Wolff-Parkinson-White and Kartagener's syndrome.
May enable ablation in WPW-Kartagener overlap; leaves open generalizability of transaortic approach.
We report a case of a manifest left free wall accessory pathway in a patient with Kartagener's syndrome and recurrent episodes of orthodromic atrioventricular reentrant tachycardia. To the best of our knowledge, it is the first report of Wolff-Parkinson-White syndrome associated with Kartagener's syndrome. Situs inversus and mirror image dextrocardia occurred with no additional detectable cardiac structural abnormalities. Diagnostic and therapeutic electrophysiological study was carried out via transaortic approach and a left-to-right reversal of monoplane fluoroscopic image.
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Sternick et al. (2004) studied this question.
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