AI Article Synopsis
- Coronary sinus anomalies like diverticulum are common in patients with certain heart rhythm issues, especially those with accessory pathways.
- A case study highlighted a 28-year-old man with a persistent accessory pathway who underwent repeat procedures due to an earlier failure, with a significant diverticulum found in his coronary sinus.
- Successful radiofrequency ablation was performed to treat the issue, and further tests confirmed no other related heart abnormalities were present.
Article Abstract
Coronary sinus (CS) anomalies such as diverticulum, persistent left superior vena cava or CS ostium dilatation are predominantly found in patients with accessory pathway-related tachycardias. Diverticulum of the proximal CS found in 7-11% of patients with postero-septal or left posterior manifests accessory pathways. We reported a 28 year old gentleman with manifested postero-septal accessory pathway, who underwent repeat electrophysiological study (EPS) and radiofrequency ablation for previously failed ablation. Huge CS diverticulum was identified by angiography as a reason for resistant accessory pathway. Successful RF ablation was achieved at the neck of the diverticulum without complications. Other associated anomalies were ruled out by cardiac computerized tomography (CT) and trans-esophageal echocardiography.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3727435 | PMC |
| http://dx.doi.org/10.1016/j.jsha.2010.07.009 | DOI Listing |
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