case_images: PMC3634255_01
case_images: Baseline electrocardiogram showing pre-excitation
case_images: APC-6-77-g001.jpg
case_images: PMC3634255_01_APC-6-77-g001.jpg
case_images: F1
case_images: ECG revealed short PR interval with delta wave [Figure 1], the accessory pathway was localized to right posterolateral area possibly.
case_images: Echocardiography before ablation showing dilation of left ventricle and dysynchrony between septal and lateral wall on the apical four chamber view
case_images: APC-6-77-g002.jpg
case_images: PMC3634255_01_APC-6-77-g002.jpg
case_images: F2
case_images: On tissue doppler imaging (TDI), there was delay of 60-70 ms from the septal to lateral wall [Figure 2].
case_images: Electrocardiogram after ablation showing normal PR segment
case_images: APC-6-77-g003.jpg
case_images: PMC3634255_01_APC-6-77-g003.jpg
case_images: F3
case_images: The pathway was mapped to the posteroseptal area of the tricuspid annulus and was successfully eliminated [Figure 3].
case_images: Echocardiography post ablation showing synchrony between the septal and lateral wall in the apical four chamber view
case_images: APC-6-77-g004.jpg
case_images: PMC3634255_01_APC-6-77-g004.jpg
case_images: F4
case_images: The immediate post-procedure echocardiogram revealed that there was no dysynchrony between the septal and lateral wall [Figure 4].