Gerbode Type Defect After Trans-Septal Puncture for Ablation of Left-Sided Accessory Pathway Publisher



Eslami M^{1, 2} ; Mollazadeh R^{1, 2} ; Sattarzadehbadkoubeh R^{1, 2}
Source: ARYA Atherosclerosis Published:2018

Abstract

BACKGROUND: 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. CASE REPORT: 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. CONCLUSION: Our case with an 18-month follow-up period, highlights the conservative approach in asymptomatic patients with this complication. © 2018, Isfahan University of Medical Sciences(IUMS). All rights reserved.