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Anatomical Challenges During Left-Sided Accessory Pathway Ablation in a Patient With Pectus Carinatum
Shonda Ng1,2, Shih-Lin Chang1,3,4, Danica Ann D Leycano5
1Division of Cardiac Electrophysiology, Cardiovascular Center, Department of Medicine Taipei Veterans General Hospital Taipei Taiwan.
None:
In a patient presenting with Wolff-Parkinson-White syndrome and pectus carinatum, cardiac rotation rendered conventional RAO and LAO views unreliable during left-sided accessory pathway ablation. Customized fluoroscopic views with caudal angulation allowed for successful ablation, supporting pre-procedural CT imaging to plan for patient specific fluoroscopic angles.
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