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Published in: Heart and Vessels 6/2013

01-11-2013 | Case Report

Improvement in non-tachycardia-induced cardiac failure after radiofrequency catheter ablation in a child with a right-sided accessory pathway

Authors: Hideo Fukunaga, Katsumi Akimoto, Takeshi Furukawa, Ken Takahashi, Masahiko Kishiro, Toshiaki Shimizu, Hiroshi Kamiyama, Naokata Sumitomo

Published in: Heart and Vessels | Issue 6/2013

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Abstract

A 6-year-old boy was referred for an evaluation of intolerance to physical activity at his elementary school. The patient had no episodes of palpitations. He was diagnosed as Wolff-Parkinson-White syndrome with a right-sided accessory pathway (AP) and dilated cardiomyopathy (DCM). Ventricular dyskinesis was detected mostly in the ventricular septum. Because the asynchronous septal motion caused by pre-excitation through a right-sided AP might deteriorate his cardiac function, he underwent an AP ablation, after which the asynchronous ventricular wall motion disappeared and the wall thickness improved. We suggest that an AP ablation may be the treatment of first priority in patients who have DCM-like dyskinesis even without sustained tachyarrhythmias.
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Metadata
Title
Improvement in non-tachycardia-induced cardiac failure after radiofrequency catheter ablation in a child with a right-sided accessory pathway
Authors
Hideo Fukunaga
Katsumi Akimoto
Takeshi Furukawa
Ken Takahashi
Masahiko Kishiro
Toshiaki Shimizu
Hiroshi Kamiyama
Naokata Sumitomo
Publication date
01-11-2013
Publisher
Springer Japan
Published in
Heart and Vessels / Issue 6/2013
Print ISSN: 0910-8327
Electronic ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-013-0322-5

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