Work

A novel diagnostic technique in para-Hisian pacing under rapid adenosine triphosphate injection: A rare case of septal accessory pathway in a coronary sinus diverticulum

Year: 2022

Type: article

Abstract: Key Teaching Points•To take care in performing para-Hisian pacing (PHP) when there are 2 retrograde conductions over an atrioventricular node and an accessory pathway (AP).•PHP under rapid intravenous adenosine triphosphate injection is a useful method for clarifying retrograde conduction of the AP.•Coronary sinus (CS) diverticulum is a major CS anomaly. It is important to evaluate CS anatomy using contrast-enhanced imaging before catheter ablation of supraventricular arrhythmias. •To take care in performing para-Hisian pacing (PHP) when there are 2 retrograde conductions over an atrioventricular node and an accessory pathway (AP).•PHP under rapid intravenous adenosine triphosphate injection is a useful method for clarifying retrograde conduction of the AP.•Coronary sinus (CS) diverticulum is a major CS anomaly. It is important to evaluate CS anatomy using contrast-enhanced imaging before catheter ablation of supraventricular arrhythmias.

Source: HeartRhythm Case Reports

DOI: 10.1016/j.hrcr.2022.08.012

Authors: Koji Sudo, Tetsuya Asakawa, Moeko Abe, Kazuya Nakagawa, Kenji Kuroki, Akira Sato

Institutions: University of Yamanashi, Yamanashi Kosei Hospital

Language: English

Topic: Cardiac Arrhythmias and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,050