A clinical case of successful heart conduction system pacing after radiofrequency ablation of maheim tract in a patient with atrioventricular block and arrhythmogenic cardiomyopathy
https://doi.org/10.51922/2616-633X.2024.8.1.2163
Abstract
The article presents a clinical case of heart conduction system pacing (left branch of bundle (LBB)area) after radiofrequency ablation (RFA) of an accessory pathway with rare localization and features (Maheim tract) in a patient with atrioventricular block (AV-block) and arrhythmogenic cardiomyopathy. We have also covered the issues of diagnosis and management of the ventricular pre-excitation syndrome determined by Maheim tract and prospects of the new method of physiological electrocardiostimulation, i. e. of LBB areapacing.
About the Authors
V. KadochkinBelarus
Minsk
D. Pilant
Belarus
Minsk
K. Drozdovski
Belarus
Minsk
E. Rudich
Belarus
Minsk
References
1. Yee R., Klein G.J., Prystowsky E.N. The Wolffe-Parkinson-White syndrome and related variants. In: Zipes DP, ed. Cardiac Electro- physiology: From Cell to Bedside. 3<sup>RD</sup> ed. Philadelphia: WB Saun- ders, 2000, pp. 845–861.
2. Becker A.E, Anderson R.H. The Wolff-Parkinson-White syndrome and its anatomical substrates. Anat Rec, 1981, vol. 201, pp. 169–177. doi: 10.1002/ar.1092010118.
3. Mahaim I., Benatt A. Nouvelles recherches sur les connexions superieures de la branche gauche du faisceau de His-Tarawa avec cloison interventriculaire. Cardiologia, 1938, vol. 1, pp. 61.
4. Gallagher J.J., Smith W.M., Kasell J., et al. Role of Mahaim fibers in cardiac arrhythmias in man. Circulation. 1981; 64:176-189.
5. Shan Q., Jin Y., Cao K. Reversible left ventricular dyssynchrony and dysfunction resulting from right ventricular pre-excitation. Europace, 2007, vol. 9(8), pp. 697–701. doi: 10.1093/europace/eum138.
6. Chen M, Yang B, Ju W, et al. Right-Sided Free Wall Accessory Pathway Refractory to Conventional Catheter Ablation: Lessons From 3-Dimensional Electro anatomic Mapping. J Cardiovasc Electrophysiol, 2010, vol. 21(12), pp. 1317-1324. doi: 10.1111/j.1540-8167.2010.01857.x.
7. Liu Q., Yang J., Bolun Z., et al. Comparison of cardiac function between left bundle branch pacing and right ventricular outflow tract septal pacing in the short-term: A registered controlled clinical trial Int J Cardiol, 2021, vol. 322, pp. 70–76. doi: 10.1016/j.ijcard.2020.08.048.
8. Shoei K. Huang S., Miller J. Catheter Ablation of Cardiac Arrhythmias, 2019, 409 p.
9. Glikson M., Nielsen J.C., Kronborg M.B., et al. 2021 ESC guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J, 2021, vol. 42 (35), pp. 3427–520. doi: 10.1093/eurheartj/ehab364.
10. Su L., Wang S., Wu S., et al. Long-term safety and feasibility of left bundle branch pacing in a large single-center study. Circ Arrhythm Electrophysiol, 2021, vol. 14(2), pp. e009261. doi: 10.1161/CIRCEP.120.009261.
11. Burri H., Jastrzebski M.,Cano Ó., et al. EHRA clinical consensus statement on conduction system pacing implantation:endorsed by the Asia Pacific Heart Rhythm Society (APHRS), Canadian Heart Rhythm Society (CHRS), and Latin American Heart Rhythm Society (LAHRS). Europace, 2023, vol. 25(4), 1208–1236. doi: 10.1093/europace/euad043.
Review
For citations:
Kadochkin V., Pilant D., Drozdovski K., Rudich E. A clinical case of successful heart conduction system pacing after radiofrequency ablation of maheim tract in a patient with atrioventricular block and arrhythmogenic cardiomyopathy. Emergency Cardiology and Cardiovascular Risks journal. 2024;8(1):2163-2167. (In Russ.) https://doi.org/10.51922/2616-633X.2024.8.1.2163