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Bidirectional bundle branch reentry tachycardia associated with Ebstein's anomaly: cured by extensive cryoablation of the right bundle branch.

Abstract
A 30-year-old woman with Ebstein's anomaly presented with a sustained, wide QRS complex tachycardia exhibiting a left bundle branch block morphology. Serial electrophysiological studies revealed right and left bundle branch reentry tachycardias refractory to many conventional antiarrhythmic drugs. Radiofrequency and direct current catheter ablation of the right bundle branch failed to control the tachycardias. The patient subsequently underwent extensive endocardial cryoablation to the right bundle branch resulting in cure of her arrhythmia.
AuthorsJ D Andress, T J Vander Salm, S K Huang
JournalPacing and clinical electrophysiology : PACE (Pacing Clin Electrophysiol) Vol. 14 Issue 11 Pt 1 Pg. 1639-47 (Nov 1991) ISSN: 0147-8389 [Print] United States
PMID1721154 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Bundle of His (surgery)
  • Bundle-Branch Block (diagnosis, etiology, surgery)
  • Cardiac Pacing, Artificial
  • Cryosurgery
  • Ebstein Anomaly (complications)
  • Electrocardiography
  • Electrocoagulation
  • Female
  • Humans
  • Tachycardia (diagnosis, etiology, surgery)

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