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Europace 2005 7(2):149-153; doi:10.1016/j.eupc.2005.01.002
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© 2005 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.

CASE REPORT

Left-septal ablation of the fast pathway in AV nodal reentrant tachycardia refractory to right septal ablation

Richard Kobza*, Gerhard Hindricks, Hildegard Tanner and Hans Kottkamp

University of Leipzig, Heart Center, Cardiology – Department of Electrophysiology Struempellstrasse 39, D-04289 Leipzig, Germany

In more than 95% of patients with atrioventricular nodal reentrant tachycardia (AVNRT), curative treatment can be achieved with selective ablation of the slow pathway in the right-sided septum. We report a patient with typical AVNRT who had failed attempts to perform conventional right septal ablation of the slow as well as of the fast pathway and finally underwent successful ablation of the fast pathway on the left side of the interatrial septum using a transseptal approach.

Key Words: atrioventricular nodal reentrant tachycardia, left-septal ablation, fast pathway

*Corresponding author. Tel.: +49 341 865 1413; fax: +49 341 865 1460. E-mail address: kobza{at}freesurf.ch (R. Kobza).


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