@article { author = {Eslami, Masoud and Mollazadeh, Reza and Sattarzadeh-Badkoubeh, Roya}, title = {Gerbode type defect after trans-septal puncture for ablation of left-sided accessory pathway}, journal = {ARYA Atherosclerosis Journal}, volume = {14}, number = {3}, pages = {139-141}, year = {2018}, publisher = {Cardiovascular research institute, Isfahan University of Medical Sciences}, issn = {1735-3955}, eissn = {2251-6638}, doi = {10.22122/arya.v14i3.1671}, 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.}, keywords = {Radiofrequency Catheter Ablation,Adverse Effects,Punctures}, url = {https://arya.mui.ac.ir/article_10635.html}, eprint = {https://arya.mui.ac.ir/article_10635_4863607d5d75c727c49775eb4fd2d355.pdf} }