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Choi, Kim, Lee, and Kim: A Case of Successful Ablation of Right-Sided Accessory Pathway during Atrial Fibrillation
Case Report
Korean Circulation Journal

Korean Circulation Journal 1996; 26(4): 906-912.

Published online: 31 August 1996

DOI: https://doi.org/10.4070/kcj.1996.26.4.906

A Case of Successful Ablation of Right-Sided Accessory Pathway during Atrial Fibrillation

Kee-Joon Choi, M.D., Jae-Joong Kim, M.D., Cheol-Whan Lee, M.D., You-Ho Kim, M.D.

Copyright © 1996 The Korean Society of Circulation

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The occurrence of atrial fibillation during an electrophysiologic study or catheter ablation in patients with accessory pathways is a common problem and sometimes complicates the localization and ablation procedure of accessory pathways. In patients with sustained atrial fibrillation, it is often time-consuming to terminate atrial fibrillation by drugs or electrical cardioversion.
We performed successful radiofrequency catheter ablation in a patient with right-sided accessory pathway during atrial fibrillation requiring repeated electrical cardioversion. The target site was determined by activation mapping and morphology of unipolar electrogram at a site of early ventricular activation.

Keywords: Radiofrequency catheter ablation, Atrial fibrillation

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