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起源于冠状静脉窦憩室口部旁道消融一例

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摘要 患者女性,34岁,因心悸、胸闷1个月,加重再发1h入院.消融术中冠状窦(CS)5/6—CS 7/8电极前传V波早,心室起搏时逆传亦是CS 5/6—CS 7/8电极A波早,考虑为左后间隔旁道,消融失败;后拟至对应的外膜面(冠状静脉窦内)标测,发现在冠状窦内有一往外凸出的条索状结构,造影后显示为憩室,在憩室口部标测到非常理想靶点(AV融合,逆传亦提前),消融几秒后预激波消失,逆传VA亦分离,达到即刻成功,无手术并发证发生.
作者 黄强辉 肖珊 章艳平 俞建华
机构地区 南昌大学第二附属医院心内科
出处 《中国心脏起搏与心电生理杂志》 2023年第3期275-277,共3页 Chinese Journal of Cardiac Pacing and Electrophysiology
关键词 心血管病学 憩室 预激综合征 冠状静脉窦
分类号 R541.77 [医药卫生—心血管疾病] R454.1 [医药卫生—治疗学]
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中国心脏起搏与心电生理杂志
2023年 第3期

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