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Europace 2004 6(6):608-612; doi:10.1016/j.eupc.2004.07.009
© 2004 by European Society of Cardiology
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CASE REPORT

Electroanatomical mapping and radiofrequency ablation of an accessory pathway associated with a large aneurysm of the coronary sinus

Monther Boulos and Lior Gepstein*

Cardiology Department, Rambam Medical Center, Haifa, Israel and the Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology Haifa, Israel

We report a case of a patient with a left posteroseptal accessory pathway associated with a coronary sinus (CS) aneurysm. The patient had undergone two previous failed ablation attempts at other institutions despite multiple radiofrequency applications delivered within and outside the CS aneurysm. Electroanatomical mapping was performed and allowed delineation of the three-dimensional anatomy of the aneurysm, so as to identify the ventricular insertion site, and to permit successful ablation of the pathway without any complications.

Key Words: accessory pathway, coronary sinus aneurysm, catheter ablation, electroanatomical mapping

*Corresponding author. Cardiovascular Research Laboratory, Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, 2 Efron Street, POB 9649, 31096 Haifa, Israel. Tel.: +972 4 829 5303; fax: +972 4 852 4758. E-mail address: mdlior{at}tx.technion.ac.il (L. Gepstein).


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