Hostname: page-component-745bb68f8f-lrblm Total loading time: 0 Render date: 2025-01-31T03:12:27.776Z Has data issue: false hasContentIssue false
  • English
  • Français

Giant diverticulum of coronary sinus with multiple accessory pathways treated with catheter ablation

Part of: Advanced Imaging

Published online by Cambridge University Press:  23 September 2021

Sinem N. Selcuk Open the ORCID record for Sinem N. Selcuk [Opens in a new window] ,
İlker Ertugrul Open the ORCID record for İlker Ertugrul [Opens in a new window]  and
Tevfik Karagoz Open the ORCID record for Tevfik Karagoz [Opens in a new window]
Sinem N. Selcuk*
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
İlker Ertugrul
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
Tevfik Karagoz
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
*
Author for correspondence: Sinem N. Selcuk, Pediatric Cardiology, Hacettepe University Ihsan Dogramaci Children’s Hospital, Altındag, Ankara, Turkey. Tel: +90 533 464 6248. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Coronary sinus abnormalities are usually associated with arrhythmia disorders when symptomatic. We report a 5-year-old 14 kg patient with a giant diverticulum of coronary sinus and Wolff-Parkinson-White syndrome. Catheter ablation therapy was decided during follow-up due to inadequate response to multidrug therapy. Posteroseptal and left posterolateral accessory pathways were established and radiofrequency ablation was performed successfully through coronary sinus.

Keywords

Coronary sinus diverticulumWolff-Parkinson-White syndromeradiofrequency ablation therapy
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 4 , April 2022 , pp. 658 - 661
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Guiraudon, GM, Guiraudon, CM, Klein, GJ, Sharma, AD, Yee, R. The coronary sinus diverticulum: a pathologic entity associated with the Wolff-Parkinson-White syndrome. Am J Cardiol 1988; 62: 733–735. DOI 10.1016/0002-9149(88)91212-X.CrossRefGoogle ScholarPubMed
Chen, YA, Nguyen, ET, Dennie, C, et al. Computed tomography and magnetic resonance imaging of the coronary sinus: anatomic variants and congenital anomalies. Insights Imaging 2014; 5: 547–557. DOI 10.1007/s13244-014-0330-8.CrossRefGoogle ScholarPubMed
Weiss, C, Cappato, R, Willems, S, Meinertz, T, Kuck, KH. Prospective evaluation of the coronary sinus anatomy in patients undergoing electrophysiologic study. Clin Cardiol 1999; 22: 537–543. DOI 10.1002/clc.4960220810.CrossRefGoogle ScholarPubMed
Sun, Y, Arruda, M, Otomo, K, et al. Coronary sinus-ventricular accessory connections producing posteroseptal and left posterior accessory pathways: incidence and electrophysiological identification. Circulation 2002; 106: 1362–1367. DOI 10.1161/01.CIR.0000028464.12047.A6.CrossRefGoogle ScholarPubMed
Schumacher, B, Tebbenjohanns, J, Pfeiffer, D, Omran, H, Jung, W, Luderitz, B. Prospective study of retrograde coronary venography in patients with posteroseptal and left-sided accessory atrioventricular pathways. Am Heart J 1995; 130: 1031–1039. DOI 10.1016/0002-8703(95)90205-8.CrossRefGoogle ScholarPubMed
Nishimori, M, Kiuchi, K, Mori, S, et al. Atypical inferoseptal accessory pathway connection associated with an aneurysm of the coronary sinus: insight from a three-dimensional combined image of electroanatomic mapping and computed tomography. HeartRhythm Case Rep 2018; 4: 389–392. DOI 10.1016/j.hrcr.2018.04.009.CrossRefGoogle ScholarPubMed
Jang, SW, Rho, TH, Kim, DB, et al. Successful radiofrequency catheter ablation for wolff-Parkinson-white syndrome within the neck of a coronary sinus diverticulum. Korean Circ J 2009; 39: 389–391. DOI 10.4070/kcj.2009.39.9.389.CrossRefGoogle ScholarPubMed
Stavrakis, S, Jackman, WM, Nakagawa, H, et al. Risk of coronary artery injury with radiofrequency ablation and cryoablation of epicardial posteroseptal accessory pathways within the coronary venous system. Circ Arrhythm Electrophysiol 2014; 7: 113–119. DOI 10.1161/CIRCEP.113.000986.CrossRefGoogle ScholarPubMed
Mao, J, Moriarty, JM, Mandapati, R, Boyle, NG, Shivkumar, K, Vaseghi, M. Catheter ablation of accessory pathways near the coronary sinus: value of defining coronary arterial anatomy. Heart Rhythm 2015; 12: 508–514. DOI 10.1016/j.hrthm.2014.11.035.CrossRefGoogle ScholarPubMed