Gerbode type defect after trans-septal puncture for ablation of left-sided accessory pathway

• Main Authors: Masoud Eslami, Reza Mollazadeh, Roya Sattarzadeh-Badkoubeh
• Format: Article
• Language: English
• Published: Vesnu Publications 2018-06-01
• Series: ARYA Atherosclerosis
• Subjects: Radiofrequency Catheter Ablation; Adverse Effects; Punctures
• Online Access: http://arya.mui.ac.ir/index.php/arya/article/view/1671

<div><p><strong>BACKGROUND:</strong> Trans-septal puncture (TSP) is a safe and effective method to approach left atrium and ventricle. Nowadays, cardiac electrophysiologists perform this procedure routinely to treat left-sided arrhythmias.</p><p><strong>CASE REPORT:</strong> A 45-year-old man was referred to our center due to Wolff-Parkinson-White (WPW) syndrome. After trans-septal puncture, contrast injection into the sheath showed that it was in the left ventricle (LV) rather than left atrium. Trans-esophageal echocardiography confirmed left ventricle outflow tract to right atrial (RA) jet. Follow-up echocardiography showed that the tract was present up to 18 months, but considering that the patient was asymptomatic, endovascular or surgical closure was not done.</p><p><strong>CONCLUSION:</strong> Our case with an 18-month follow-up period, highlights the conservative approach in asymptomatic patients with this complication.</p></div>