Multiple accessory pathways coexisting with a persistent left superior vena cava: a case report
Abstract Background Wolff–Parkinson–White syndrome is characterized by a short PR interval (delta-wave), long QRS complex, and the appearance of paroxysmal supraventricular tachycardia. Patients with Wolff–Parkinson–White syndrome usually have one accessory pathway, whereas cases with multiple acces...
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-023-03865-6 |
| _version_ | 1797853791638257664 |
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| author | Tetsuya Uemura Hidekazu Kondo Tetsuji Shinohara Masaki Takahashi Koshiro Akamine Naoko Ogawa Kei Hirota Akira Fukui Hidefumi Akioka Kunio Yufu Naohiko Takahashi |
| author_facet | Tetsuya Uemura Hidekazu Kondo Tetsuji Shinohara Masaki Takahashi Koshiro Akamine Naoko Ogawa Kei Hirota Akira Fukui Hidefumi Akioka Kunio Yufu Naohiko Takahashi |
| author_sort | Tetsuya Uemura |
| collection | DOAJ |
| description | Abstract Background Wolff–Parkinson–White syndrome is characterized by a short PR interval (delta-wave), long QRS complex, and the appearance of paroxysmal supraventricular tachycardia. Patients with Wolff–Parkinson–White syndrome usually have one accessory pathway, whereas cases with multiple accessory pathways are rare. Persistent left superior vena cava is a vascular anomaly in which the vein drains into the right atrium through the coronary sinus at the junction of the left internal jugular and subclavian veins due to abnormal development of the left cardinal vein. The simultaneous presence of multiple accessory pathways and persistent left superior vena cava has not been reported before. Case presentation A 56-year-old Japanese man with a 5-year history of palpitations was referred for radiofrequency catheter ablation due to increased frequency of tachycardia episodes in the previous 2 months. Persistent left superior vena cava was confirmed by transthoracic echocardiography and computed tomography. An electrophysiological study revealed that the accessory pathways were located in the left lateral wall, anterolateral wall, and posteroseptal region. They were completely ablated with radiofrequency energy application. Conclusions We reported an extremely rare case of a patient with multiple accessory pathways and persistent left superior vena cava. Our case may suggest a potential embryological relationship between the multiple accessory pathways and persistent left superior vena cava. |
| first_indexed | 2024-04-09T19:56:33Z |
| format | Article |
| id | doaj.art-7e168ac3d9d14f90b90fe5f6e06474cc |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-09T19:56:33Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-7e168ac3d9d14f90b90fe5f6e06474cc2023-04-03T05:28:07ZengBMCJournal of Medical Case Reports1752-19472023-03-011711410.1186/s13256-023-03865-6Multiple accessory pathways coexisting with a persistent left superior vena cava: a case reportTetsuya Uemura0Hidekazu Kondo1Tetsuji Shinohara2Masaki Takahashi3Koshiro Akamine4Naoko Ogawa5Kei Hirota6Akira Fukui7Hidefumi Akioka8Kunio Yufu9Naohiko Takahashi10Department of Cardiology and Clinical Examination, Faculty of Medicine, Oita UniversityDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita UniversityDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita UniversityDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita UniversityDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita UniversityDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita UniversityDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita UniversityDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita UniversityDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita UniversityDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita UniversityDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita UniversityAbstract Background Wolff–Parkinson–White syndrome is characterized by a short PR interval (delta-wave), long QRS complex, and the appearance of paroxysmal supraventricular tachycardia. Patients with Wolff–Parkinson–White syndrome usually have one accessory pathway, whereas cases with multiple accessory pathways are rare. Persistent left superior vena cava is a vascular anomaly in which the vein drains into the right atrium through the coronary sinus at the junction of the left internal jugular and subclavian veins due to abnormal development of the left cardinal vein. The simultaneous presence of multiple accessory pathways and persistent left superior vena cava has not been reported before. Case presentation A 56-year-old Japanese man with a 5-year history of palpitations was referred for radiofrequency catheter ablation due to increased frequency of tachycardia episodes in the previous 2 months. Persistent left superior vena cava was confirmed by transthoracic echocardiography and computed tomography. An electrophysiological study revealed that the accessory pathways were located in the left lateral wall, anterolateral wall, and posteroseptal region. They were completely ablated with radiofrequency energy application. Conclusions We reported an extremely rare case of a patient with multiple accessory pathways and persistent left superior vena cava. Our case may suggest a potential embryological relationship between the multiple accessory pathways and persistent left superior vena cava.https://doi.org/10.1186/s13256-023-03865-6Multiple accessory pathwaysPersistent left superior vena cavaWolff–Parkinson–White syndromeCatheter ablation |
| spellingShingle | Tetsuya Uemura Hidekazu Kondo Tetsuji Shinohara Masaki Takahashi Koshiro Akamine Naoko Ogawa Kei Hirota Akira Fukui Hidefumi Akioka Kunio Yufu Naohiko Takahashi Multiple accessory pathways coexisting with a persistent left superior vena cava: a case report Journal of Medical Case Reports Multiple accessory pathways Persistent left superior vena cava Wolff–Parkinson–White syndrome Catheter ablation |
| title | Multiple accessory pathways coexisting with a persistent left superior vena cava: a case report |
| title_full | Multiple accessory pathways coexisting with a persistent left superior vena cava: a case report |
| title_fullStr | Multiple accessory pathways coexisting with a persistent left superior vena cava: a case report |
| title_full_unstemmed | Multiple accessory pathways coexisting with a persistent left superior vena cava: a case report |
| title_short | Multiple accessory pathways coexisting with a persistent left superior vena cava: a case report |
| title_sort | multiple accessory pathways coexisting with a persistent left superior vena cava a case report |
| topic | Multiple accessory pathways Persistent left superior vena cava Wolff–Parkinson–White syndrome Catheter ablation |
| url | https://doi.org/10.1186/s13256-023-03865-6 |
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