Published in:
01-11-2008 | CASE REPORT
Electrophysiological study and catheter ablation of a Mahaim fibre located at the mitral annulus–aorta junction
Authors:
P. Francia, M. C. Pittalis, H. Ali, R. Cappato
Published in:
Journal of Interventional Cardiac Electrophysiology
|
Issue 2/2008
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Abstract
Accessory pathways with slow and anterograde decremental conduction (Mahaim fibres) are responsible for a minority of atrioventricular reentrant tachycardias. While usually located along the tricuspid annulus, left-sided Mahaim fibres have been occasionally reported. We here report on a unique case of radiofrequency catheter ablation of a Mahaim pathway located at the supero-septal aspect of the mitral annulus, in a region known as mitral annulus–aorta junction, between the right and left fibrous trigons. Electrophysiological properties and embryological implications of this unusual accessory pathway are discussed.