Gerbode Type Defect After Trans-septal Puncture for Ablation of Left-sided Accessory Pathway

Overview

Journal ARYA Atheroscler

Date 2018 Oct 24

PMID 30349577

Citations 1

Authors

Masoud Eslami

Reza Mollazadeh

Roya Sattarzadeh-Badkoubeh

Affiliations

Soon will be listed here.

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.

Citing Articles

Congenital Gerbode defect in an adult patient: report of an extremely rare case.

Diaz-Sarasa P, Reyes-Villanes J, Cubas W Arch Peru Cardiol Cir Cardiovasc. 2023; 4(1):29-32.

PMID: 37408784 PMC: 10318994. DOI: 10.47487/apcyccv.v4i1.250.

References

Can I, Krueger K, Chandrashekar Y, Li J, Dykoski R, Tholakanahalli V . Images in cardiovascular medicine. Gerbode-type defect induced by catheter ablation of the atrioventricular node. Circulation. 2009; 119(22):e553-6. DOI: 10.1161/CIRCULATIONAHA.108.838086. View

Tsang M, Hagler D, Dearani J, Rihal C, Anavekar N . Aorto-right atrial fistula: a rare complication of trans-septal puncture and catheter ablation for atrial fibrillation. Eur Heart J Cardiovasc Imaging. 2013; 15(1):115. DOI: 10.1093/ehjci/jet142. View

Claridge S, Kapetanakis S, Gill J, Rinaldi C, Wright M . A rare complication from transseptal puncture-persistent aorto-right atrial shunt and puncture of noncoronary cusp of aortic valve. Heart Rhythm. 2011; 9(12):2089-90. DOI: 10.1016/j.hrthm.2011.08.008. View

Katritsis G, Siontis G, Giazitzoglou E, Fragakis N, Katritsis D . Complications of transseptal catheterization for different cardiac procedures. Int J Cardiol. 2013; 168(6):5352-4. DOI: 10.1016/j.ijcard.2013.08.004. View

Chavarria N, Goldbarg S . Left ventricle penetration-A rare complication of transseptal puncture and catheter ablation for supraventricular tachycardia. HeartRhythm Case Rep. 2017; 1(5):382-383. PMC: 5419514. DOI: 10.1016/j.hrcr.2015.03.023. View