Rheumatic Mitral Stenosis Complicated with Underlying Wolff-Parkinson-White Syndrome

Saraschandra Vallabhajosyula; Pranathi Rao Sundaragiri; Shashaank Vallabhajosyula; Saarwaani Vallabhajosyula

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Rheumatic Mitral Stenosis Complicated with Underlying Wolff-Parkinson-White Syndrome

机译：风湿性二尖瓣狭窄伴有潜在的Wolff-Parkinson-White综合征

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Rheumatic mitral stenosis (MS) is an acquired valvular condition and is rarely associated with Wolff-Parkinson-White (WPW) syndrome. A 51-year-old Caucasian female with known MS presented with syncopal episodes, exertional fatigue and was noted to have atrial fi brillation (AF) with wide-QRS complexes. Old electrocardiogram revealed classical fi ndings of WPW syndrome and wide-QRS was believed to be due to pre-excited AF. Transthoracic echocardiogram demonstrated moderate MS and preserved systolic function. Electrophysiological studies revealed left anterolateral accessory pathway (AP) that was successfully ablated. Pre-excited AF manifests as cardiomyopathy, hemodynamic compromise, multiorgan dysfunction, and ventricular fi brillation. Catheter ablation of AP with or without restoration of sinus rhythm is the recommended therapy, with mitral valve replacement in the same or subsequent procedure.

机译：风湿性二尖瓣狭窄（MS）是一种获得性瓣膜病，很少与Wolff-Parkinson-White（WPW）综合征相关。一名已知MS的51岁白人女性，表现为晕厥发作，劳累性疲劳，并被发现患有房颤（AF）和宽QRS波群。旧的心电图显示了WPW综合征的典型发现，宽QRS被认为是由于预激性房颤所致。经胸超声心动图显示中度MS和保留收缩功能。电生理研究显示成功消融了左前外侧辅助通路（AP）。预激性房颤表现为心肌病，血液动力学损害，多器官功能障碍和心室纤颤。推荐的是在有或没有窦性心律恢复的情况下对AP进行导管消融，并在相同或后续步骤中更换二尖瓣。

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《Journal of Cardiovascular Disease Research》 |2014年第2期|共4页
作者
Saraschandra Vallabhajosyula; Pranathi Rao Sundaragiri; Shashaank Vallabhajosyula; Saarwaani Vallabhajosyula;
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中图分类心脏、血管（循环系）疾病;
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Rheumatic Mitral Stenosis Complicated with Underlying Wolff-Parkinson-White Syndrome

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