Atrioventricular block masked by posteroseptal bypass tract located in coronary sinus aneurysm.

J Electrocardiol

Department of Cardiac Electrophysiology, Sunshine Coast University Hospital, 6 Doherty Street, Birtinya, Queensland 4575, Australia.

Published: August 2018

Atrial fibrillation with concurrent ventricular preexcitation identifies a high-risk arrhythmic substrate and usually results in catheter ablation of the atrioventricular bypass tract. Electrocardiography can only approximate the anatomical location of an accessory pathway. Here we report a case where a bypass tract was localised to a coronary sinus aneurysm and antegrade atrioventricular conduction masked underlying atrioventricular nodal block.

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http://dx.doi.org/10.1016/j.jelectrocard.2017.07.002DOI Listing

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