Irregular tachycardia and Intra-Atrial Conduction Block of the mitral
isthmus During Accessory Pathway Ablation
Abstract
The mitral isthmus conduction block was inadvertently achieved during
radiofrequency catheter ablation for a left lateral concealed accessory
pathway (AP). we reported that the mitral isthmus incomplete conduction
block accompanied by alternating atrioventricular conduction interval
led to tachycardia cycle length variability during left lateral AP
ablation. This rare electrophysiological phenomenon should be
acknowledged to avoid radiofrequency applications in inappropriate
regions.