Author + information
- Received April 2, 1985
- Revision received June 4, 1985
- Accepted June 20, 1985
- Published online November 1, 1985.
- Eli S. Gang, MD, FACCa,
- Daniel Oseran, MD,
- Mark Rosenthal, MD,
- William J. Mandel, MD, FACC,
- Zhaowen Deng, MD,
- Malte Meesmann, MDb and
- Thomas Peter, MD, FACC
- ↵aAddress for reprints: Eli S. Gang, MD, Division of Cardiology, Room 5341, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, California 90048.
This report describes a 23 year old woman with a lifelong history of permanent junctional reciprocating tachycardia refractory to conventional antiarrhythmic medications who was successfully treated with closed chest, transvenous selective ablation of a posteroseptal bypass tract. Two 100 J (stored) direct-current shocks were delivered to the region of the os of the coronary sinus using a quadripolar catheter positioned in the coronary sinus. At a 2 month follow-up interval, the patient is asymptomatic without recurrence of the tachycardia. It is concluded that in patients with permanent junctional reciprocating tachycardia, selective catheter ablation of a posteroseptal accessory pathway is a feasible alternative to a difficult pharmacologic regimen or to ablative surgery.
↵b Dr. Meesmann is the recipient of Research Grant Me 799 of the Deutsche Forschungsgemeinschaft, West Germany.
This study was supported in part by a grant-in-aid from the American Heart Association, Dallas, Texas and by the ECHO Fund of Cedars-Sinai Medical Center, Los Angeles, California.
- Received April 2, 1985.
- Revision received June 4, 1985.
- Accepted June 20, 1985.
- American College of Cardiology Foundation