• J Postgrad Med · Jul 2020

    Case Reports

    Ablation of atrioventricular-nodal-reentrant- tachycardia in a patient with left-sided superior vena cava and dilated coronary sinus.

    • S A Deshpande and A R Udyavar.
    • Department of Cardiology, Jagjivan Ram Western Railway Hospital, Mumbai, Maharashtra, India.
    • J Postgrad Med. 2020 Jul 1; 66 (3): 159-161.

    AbstractAtrioventricular (AV)-nodal-reentrant-tachycardia is a rare association in a patient with persistent left-sided superior vena cava and dilated coronary sinus. There are a few inherent difficulties in ablation in this condition, viz., difficulty in localization of good site for ablation and difficulty in stabilization of the ablation catheter at the designated site, making it difficult to produce transmural lesions and increasing risk of producing AV block. We hereby present a case highlighting the difficulties and possible solutions for them.

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