case report_manifest wpw syndrome

Case presentation

Brief history

This 23 years old woman was healthy in the past. She experience the first episode when she was 15-year-old during exercising and occasionally recurred every half to one year.This time, she presented with palpitation when she carrying heavy materials. Due to above problems, she was brought to LMD where PSVT was noted. Adenosine (6mg --> 12mg) and Isoptin 1amp (?) were administrated. NO history of smoking and drinking.

After adenosine and verapamil (clear consciousness, BP: 98/79mmHg)

cardioversion by Amiodarone

Baseline

A1A1 pacing induced orthodromic AVRT

RA pacing

RV pacing

V1V2 pacing induced AVRT

RFCA at lateral excellent location

RFCA at lateral Kent

post RFCA at lateral AP: no VA conduction by RV pacing (CL: 350ms)

post RFCA at lateral AP: no VA conduction by RV pacing (CL: 300ms)

Posteroseptal Kent (post 1st RFCA at lateral Kent)

post successful RFCA at posteroseptal Kent

recurrent lateral VA conduction after RFCA of posteroseptal Kent

2nd RFCA lateral Kent at successful spot during orthodromic AVRT

post successful 2nd RFCA lateral Kent

Final

DiagnosisManifest WPW syndrome status post successful ablation of left posteroseptal and left lateral Kent