Skip to main content
Log in

Successful Radiofrequency Catheter Ablation of Left Lateral Accessory Pathway Using Transseptal Approach During Pregnancy

  • Case Report
  • Published:
Journal of Interventional Cardiac Electrophysiology Aims and scope Submit manuscript

Abstract

Recurrent supraventricular tachycardia (SVT) associated with the Wolff-Parkinson-White syndrome during pregnancy may be difficult to manage, mainly due to concerns about the effects of pharmacotherapy on the fetus. We report on a 32 year old woman in her 22nd week of pregnancy with recurrent symptomatic SVT in which standard pharmacotherapy had been ineffectual, contraindicated or poorly tolerated and in whom we were able to perform a successful transseptal ablation of a left lateral accessory pathway.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Elkayam U, Gleischer N. Cardiac Problems in Pregnancy:Diagnosis and management of Maternal and Fetal Disease.Alan R. Liss . New York, NY, 1982:167–178.

  2. Joglar JA, Page RL. Treatment of cardiac arrhythmias during pregnancy:Safety consideration. Drug Safety 1999;20:85–94.

    PubMed  Google Scholar 

  3. Elkayam NG, Zavras GM, Papadaki PJ, Soufras GD, Kitrou MP, Poulos EA. Pregnancy-induced increase of supraventricular arrhythmias in Wolff-Parkinson-White syndrome. Clinical Cardiolog 1995;18:137–140.

    Google Scholar 

  4. Blomstrom-Lundquist, Scheinman MM, Aliot EM, Alpert JS, Calkins H, Camm AJ, Campbell WB, Haines DE, Kuck KH, Lerman BB, Miller DD, Shaeffer CW, Stevenson WG, Tomaselli GF, Antman EM, Smith SC Jr, Alpert JS, Faxon DP, Fuster V, Gibbons RJ, Gregoratos G, Hiratzka LF, Hunt SA, Jacobs AK, Russell RO Jr, Priori SG, Blanc JJ, Budaj A, Burgos EF, Cowie M, Deckers JW, Garcia MA, Klein WW, Lekakis J, Lindahl B, Mazzotta G, Morais JC, Oto A, Smiseth O, Trappe HJ; European Society of Cardiology Committee, NASPE-Heart Rhythm Society. ACC/AHA/ESC Guidelines for The Management of Patients with Supraventricular Arrhythmias-Executive Summary. Journal of American College of Cardiology 2003;42:1493–1531.

    Article  Google Scholar 

  5. Demilakis J, Theocharopoulos N, Perisinakis K, et al. Conceptus radiation dose and risk from cardiac catheter ablation procedures. Circulation2001;104:893–897.

    PubMed  Google Scholar 

  6. Drobinski G, Frabolet P, Montalescot G, et al. Valvuloplastie mitral au quatrime mois de grossesse. Protection foetale par un manteau de plomb. Arch Mal Coeur 1991;84:249–251.

    PubMed  Google Scholar 

  7. Esteves CA, Ramos AIO, Braga SLN, Harrison JK, Sousa JE. Effectiveness of percutaneous balloon mitral valvotomy during pregnancy. Am J Cardiol 1991;68:930–934.

    Article  PubMed  Google Scholar 

  8. Kalra GS, Arora R, Khan JA, Nigam M, Khalillulah M. Percutaneous mitral commissurotomy for severe mitral stenosis during pregnancy. Cathet Cardiovasc Diag 1994;33:28–30.

    Google Scholar 

  9. Dominguez A, Iturralde P, Hermosillo AG, Colin L, Kershenovich S, Garrido LM. Successful radiofrequency ablation of an accessory pathway during pregnancy. Pacing Clin Electrophysio 1999;22:131–134.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yousuf Kanjwal M.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kanjwal, Y., Kosinski, D., Kanj, M. et al. Successful Radiofrequency Catheter Ablation of Left Lateral Accessory Pathway Using Transseptal Approach During Pregnancy. J Interv Card Electrophysiol 13, 239–242 (2005). https://doi.org/10.1007/s10840-005-2493-1

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10840-005-2493-1

Keywords

Navigation