W henever irrigation fluid enters the intravascular space, dangerous complications can arise. This is best described as the transurethral resection of the prostate (TURF’) syndrome. The syndrome has also been reported after endometrial ablation (l-5) and ureteroscopic procedures with irrigating solutions (6-8). TURF’ syndrome may occur as quickly as 15 minutes after resection starts (9-ll), or ...

Background: The non-Doppler echocardiographic technique known as two-dimensional speckle tracking echocardiography (2D-STE) has been demonstrated to help assess dyssynchrony and allow quantification of cardiac deformity timing in 2D greyscale images. This study evaluated the role accessory pathway (AP) localization compared electrophysiology (EPS) gold standard technique. Methods: was performed...

Pudendal neuralgia (PN) is a result of pudendal nerve entrapment or injury, also called "Alcock syndrome." Pain that develops is often chronic, and at times debilitating. If conservative measures fail, invasive treatment modalities can be considered. The goal of this case report is to add to a small body of literature that a pulsed radiofrequency (PRF) ablation can be effectively used to treat ...

Non-annular accessory pathways are rare to encounter in clinical practice. We present a case of right atrial appendage posterior ventricular outflow tract pathway patient with Wolf-Parkinson-White Syndrome. N/A A 26-year-old male structurally normal heart and syndrome was referred our lab for electrophysiology study catheter ablation. He had two prior studies one unsuccessful ablation attempt w...

BACKGROUND Radiofrequency catheter ablation of left-sided accessory pathways is becoming the first line of therapy for patients with symptomatic Wolff-Parkinson-White syndrome. Nevertheless, alternative ablation techniques merit development, at least as supplementary modalities for cases in which conventional ablation approaches may prove unsuccessful. We recently reported the short-term result...

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A 24-year-old male with Wolff-Parkinson-White syndrome developed systolic cardiomyopathy and severe heart failure following membranous ventricular septal defect repair and tricuspid valve replacement. Following successful catheter ablation of a right anterolateral accessory pathway (AP), complete AV block with junctional escape rhythm was noted. Patient subsequently underwent implantation of a ...

Left ventricular hypertrabeculation/noncompaction (LVHT) is an uncommon type of genetic cardiomyopathy characterized by trabeculations and recesses within the ventricular myocardium. LVHT is associated with diastolic or systolic dysfunction, thromboembolic complications, and arrhythmias, including atrial fibrillation, ventricular arrhythmias, atrioventricular block and Wolff-Parkinson-White syn...

Twin-twin transfusion syndrome (TTTS) affects 10% to 15% of monochorionic pregnancies. In the absences of timely diagnosis and intervention perinatal loss or long term developmental delay can be expected in over 90% of cases. Establishing chorionicity in the first trimester followed by serial ultrasounds beginning at 16 weeks of gestation and intervention with placental laser ablation before th...

The case of a patient with narrow QRS-complex supraventricular tachycardia and atrial flutter is described. The 12-lead surface electrocardiogram (ECG) revealed sinus rhythm with ventricular pre-excitation and negative δ waves in leads II, III and aVF, indicating Wolff-Parkinson-White syndrome with a posteroseptal accessory pathway (AP). Coronary sinus angiography revealed the presence of a div...