Cryoablation of a Mahaim Epicardial Accessory Pathway Inside Coronary Sinus Using an 8-mm Catheter

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Cryoablation of a Mahaim Epicardial Accessory Pathway Inside Coronary Sinus Using an 8-mm Catheter

Valdigem, Bruno Pereira; Silva, Nilton José Carneiro da; Andalaft, Rogerio Braga; Almeida, Carla; Araujo Junior, Nilson; Scazzuso, Fernando; Souza, Olga F de

Journal of Cardiac Arrhythmias, 5/2021, Volume: 34, Issue: 2

Journal Article

Cyoablation is a ablation technique underutilized except in parahissian pathways and atrial fibrillation ablation. Ablation inside venous coronary sinus remains a dreaded incursion, and cryoablation is rarely used. We present the case of a 43 YO female who had a recurrent wolff parkinson white syndrome due to an epicardial pathway inside the coronary sinus successfully treated with a large bore(8mm) cryocatheter. We also review literature and describe the advantages and similar reports of use of cryo in low flow recesses inside the heart.

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