A Rare Case of Wolff–Parkinson–White Syndrome Associated with Right Atrial Aneurysm Sağ Atriyal Anevrizma ile İlişkili Nadir Bir Wolff-Parkinson-White Sendromu Olgusu
Turk Kardiyoloji Dernegi Arsivi, cilt.51, sa.5, ss.349-352, 2023 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 51 Sayı: 5
- Basım Tarihi: 2023
- Doi Numarası: 10.5543/tkda.2023.60196
- Dergi Adı: Turk Kardiyoloji Dernegi Arsivi
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Central & Eastern European Academic Source (CEEAS), Directory of Open Access Journals, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.349-352
- Anahtar Kelimeler: Children, right atrial aneurysm, Wolff-Parkinson-White syndrome
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
Wolff–Parkinson–White syndrome is rarely associated with a right atrial aneurysm. However, when such a condition occurs, it will be hard to manage since pre-excitation will be induced as long as the aneurysm persists. A 14-year-old female patient received emergency treatment for irregular wide QRS complex tachycardia in our center, and a pre-excitation pattern was then observed on the surface electrocardiogram. An initial electrophysiological study revealed a high-risk right posterior accessory pathway that was resistant to both radiofrequency and irrigated radiofrequency ablations. Subsequently, fluoroscopy showed that this was due to a right atrial aneurysm. Although successful ablation with irrigated radiofrequency was performed in the second procedure, the procedure was considered suboptimal due to the association of aneurysm. Accordingly, we initiated anti-thrombotic and anti-arrhythmic drug therapy. We decided to omit surgery and followed the case under medical treatment for 2 years without complications. Here, we report this rare co-existence and our treatment approach in detail.