Cor Vasa 2014, 56(6):e519-e522 | DOI: 10.1016/j.crvasa.2014.07.003
Right atrial diverticulum associated with the Wolff-Parkinson-White syndrome in a child
- Dětské kardiocentrum, Fakultní nemocnice v Motole, Praha, Česká republika
A child with Wolff-Parkinson-White syndrome showed large right atrial diverticulum overlying the right ventricle and the right coronary artery at CT angio with right atrial appendage as a separate structure. The accessory pathway was located at the diverticulum. Catheter ablation was not regarded feasible and surgery was indicated. A broad muscular connection between the right atrium and ventricle was interrupted by transsection and cryoablation as confirmed by disappearance of preexcitation. This precisely CT documented case represents a rarely reported right atrial diverticulum posing a high risk of life-threatening arrhythmias.
Keywords: Child; Diverticulum; Surgery; Wolff-Parkinson-White syndrome
Received: June 13, 2014; Revised: July 11, 2014; Accepted: July 16, 2014; Published: December 1, 2014 Show citation
References
- J. Brugada, N. Blom, G. Sarquella-Brugada, et al., Pharmacological and non-pharmacological therapy for arrhythmias in the pediatric population: EHRA and AEPC-Arrhythmia Working Group joint consensus statement, Europace 15 (2013) 1337-1382.
Go to original source... 
Go to PubMed... - M.I. Cohen, J.K. Triedman, B.C. Cannon, et al., PACES/HRS expert consensus statement on the management of the asymptomatic young patient with a Wolff-Parkinson-White (WPW, ventricular preexcitation) electrocardiographic pattern, Heart Rhythm 9 (2012) 1006-1124. Go to original source... Go to PubMed...
- D. Mah, C. Miyake, R. Clegg, et al., Epicardial left atrial appendage and biatrial appendage accessory pathways, Heart Rhythm 7 (2010) 1740-1745. Go to original source... Go to PubMed...
- M. Hocini, A.J. Shah, H. Cochet, et al., Noninvasive electrocardiomapping facilitates previously failed ablation of right appendage diverticulum associated life-threatening accessory pathway, Journal of Cardiovascular Electrophysiology 24 (2013) 583-585. Go to original source... Go to PubMed...
- R.M. Campbell, W.J. Parks, F.A. Crawford, et al., Right atrial diverticulum presenting as Wolff-Parkinson-White syndrome, Pacing and Clinical Electrophysiology 15 (1992) 1101-1104. Go to original source... Go to PubMed...