Author/Authors :
Eslami, Masoud Department of Cardiology - Imam Khomeini Hospital - Tehran University of Medical Sciences, Tehran, Iran , Mollazadeh, Reza Department of Cardiology - Imam Khomeini Hospital - Tehran University of Medical Sciences, Tehran, Iran , Sattarzadeh-Badkoubeh, Roya Department of Cardiology - Imam Khomeini Hospital - Tehran University of Medical Sciences, Tehran, Iran
Abstract :
BACKGROUND: Trans-septal puncture (TSP) is a safe and effective method to approach left
atrium and ventricle. Nowadays, cardiac electrophysiologists perform this procedure routinely
to treat left-sided arrhythmias.
CASE REPORT: A 45-year-old man was referred to our center due to Wolff-Parkinson-White
(WPW) syndrome. After trans-septal puncture, contrast injection into the sheath showed that it
was in the left ventricle (LV) rather than left atrium. Trans-esophageal echocardiography
confirmed left ventricle outflow tract to right atrial (RA) jet. Follow-up echocardiography
showed that the tract was present up to 18 months, but considering that the patient was
asymptomatic, endovascular or surgical closure was not done.
CONCLUSION: Our case with an 18-month follow-up period, highlights the conservative
approach in asymptomatic patients with this complication.
