par Verbeet, Thierry William ;Nguyen, Thomas ;Castro, José Enrique
Référence Journal of cardiovascular electrophysiology, 34, 1, page (231-234)
Publication Publié, 2023-01
Article révisé par les pairs
Résumé : Introduction: A 13 old girl presented with recurrent wide QRS tachycardia since she was 4. Methods: An electrophysiologic study was performed. Results: The electrophysiologic study showed that QRS complexes identical to those of the tachycardia could be elicited with premature atrial extrastimuli but with a shorter atrioventricular (AV) delay when the QRS was wide compared with narrow QRS complexes. The tachycardia was ablated at 9 o'clock on the tricuspid annulus demonstrating the presence of an atriofascicular fiber. Conclusion: We believe that this atypical behavior can be explained by AV nodal like longitudinal dissociation of a slowly conducting accessory pathway.