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Europace Advance Access originally published online on September 26, 2008
Europace 2008 10(11):1340-1342; doi:10.1093/europace/eun270
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

SHORT COMMUNICATIONS

Wide complex tachycardia in a healthy young man

Isabelle Nault*, Frederic Sacher, Sebastien Knecht, Matthew Wright, Nicolas Lellouche, Seiichiro Matsuo, Kevin J. Makati, Meleze Hocini, Pierre Jaïs and Michel Haïssaguerre

Service de Rythmologie, Hôpital Cardiologique Haut Lévêque, Avenue de Magellan, Pessac 33600, France

We describe a case of a young man referred with a broad complex tachycardia for evaluation and ablation. Electrophysiological study was performed and revealed a left lateral accessory pathway with antegrade decremental conduction causing antidromic reciprocating re-entrant tachycardia. Ablation was successfully performed. Left lateral accessory pathways with decremental conduction are rarely encountered.

Key Words: Accessory pathway, Supraventricular Tachycardia, Mahaim, Catheter Ablation

* Corresponding author. Tel: +33 6 28 54 17 92. E-mail address: isabellenautl{at}gmail.com

Manuscript submitted 24 April 2008. Accepted after revision 8 September 2008.


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