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Gerbode Type Defect After Trans-Septal Puncture for Ablation of Left-Sided Accessory Pathway Publisher



Eslami M1, 2 ; Mollazadeh R1, 2 ; Sattarzadehbadkoubeh R1, 2
Authors
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Authors Affiliations
  1. 1. Department of Cardiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Cardiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: ARYA Atherosclerosis Published:2018


Abstract

BACKGROUND: Trans-septal puncture (TSP) is a safe and effective method to approach left atrium and ventricle. Nowadays, cardiac electrophysiologists perform this procedure routinely to treat left-sided arrhythmias. CASE REPORT: A 45-year-old man was referred to our center due to Wolff-Parkinson-White (WPW) syndrome. After trans-septal puncture, contrast injection into the sheath showed that it was in the left ventricle (LV) rather than left atrium. Trans-esophageal echocardiography confirmed left ventricle outflow tract to right atrial (RA) jet. Follow-up echocardiography showed that the tract was present up to 18 months, but considering that the patient was asymptomatic, endovascular or surgical closure was not done. CONCLUSION: Our case with an 18-month follow-up period, highlights the conservative approach in asymptomatic patients with this complication. © 2018, Isfahan University of Medical Sciences(IUMS). All rights reserved.