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Europace Advance Access originally published online on November 20, 2008
Europace 2009 11(1):121-123; doi:10.1093/europace/eun318
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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

Successful catheter ablation to accessory atrioventricular pathway as cardiac resynchronization therapy in a patient with dilated cardiomyopathy

Toshihiro Iwasaku1, Keiji Hirooka1,*, Tatsunori Taniguchi1, Go Hamano1, Yukari Utsunomiya1, Akito Nakagawa1, Masao Koide1, Takamaru Ishizu1, Masaki Yamato1, Noriko Sasaki1, Hiroyoshi Yamamoto1, Yoshihiro Kawaguchi1, Hiroya Mizuno2, Yukihiro Koretsune1, Hideo Kusuoka1 and Yoshio Yasumura1

1 Cardiovascular Division, Osaka National Hospital, 2-1-14, Hoenzaka, Chuo-ku, 540-0006 Osaka, Japan;; 2 Department of Advanced Cardiovascular Therapeutics, Osaka University Graduate School of Medicine, Osaka, Japan

A 55-year-old man was admitted to our hospital for further examination of the abnormalities of chest X-ray and electrocardiogram. He was diagnosed with type B Wolff–Parkinson–White syndrome concomitant with dilated cardiomyopathy. Despite the medical therapy using enalapril and carvedilol for 20 months, his cardiac performance and brain natriuretic peptide (BNP) were not so improved. Because asynchronous septal motion caused by pre-excitation through a right-sided accessory pathway (AP) might deteriorate his cardiac performance, catheter ablation to the AP was performed. Successful procedure after 17 months improved left ventricular (LV) contraction, reduced LV volume, and decreased mitral regurgitation and BNP.

* Corresponding author. Tel: +81 6 6942 1331; fax: +81 6 6946 3548. E-mail address: k-chan{at}onh.go.jp


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