Affordable Access

deepdyve-link
Publisher Website

A Case of Multiple Cardiovascular and Tracheal Anomalies Presented with Wolff-Parkinson-White Syndrome in a Middle-aged Adult.

Authors
  • Shi, Hyejin1
  • Sohn, Sungmin1
  • Wang, SungHo1
  • Park, Sungrock1
  • Lee, SangKi1
  • Kim, Song Yi2
  • Jeong, Sun Young3
  • Kim, Changhwan4
  • 1 Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea. , (North Korea)
  • 2 Department of Internal Medicine, Jeju National University School of Medicine, Jeju National University Hospital, Jeju, Korea. , (North Korea)
  • 3 Department of Radiology, Jeju National University School of Medicine, Jeju National University Hospital, Jeju, Korea. , (North Korea)
  • 4 Department of Internal Medicine, Jeju National University School of Medicine, Jeju National University Hospital, Jeju, Korea. [email protected] , (North Korea)
Type
Published Article
Journal
Journal of Korean medical science
Publication Date
Dec 01, 2017
Volume
32
Issue
12
Pages
2069–2072
Identifiers
DOI: 10.3346/jkms.2017.32.12.2069
PMID: 29115093
Source
Medline
Keywords
License
Unknown

Abstract

Congenital cardiovascular anomalies, such as dextrocardia, persistent left superior vena cava (SVC), and pulmonary artery (PA) sling, are rare disorders. These congenital anomalies can occur alone, or coincide with other congenital malformations. In the majority of cases, congenital anomalies are detected early in life by certain signs and symptoms. A 56-year-old man with no previous medical history was admitted due to recurrent wide QRS complex tachycardia with hemodynamic collapse. A chest radiograph showed dextrocardia. After synchronized cardioversion, an electrocardiogram revealed Wolff-Parkinson-White (WPW) syndrome. Persistent left SVC, PA sling, and right tracheal bronchus were also detected by a chest computed tomography (CT) scan. He was diagnosed with paroxysmal supraventricular tachycardia (PSVT) associated with WPW syndrome, and underwent radiofrequency ablation. We reported the first case of situs solitus dextrocardia coexisting with persistent left SVC, PA sling and right tracheal bronchus presented with WPW and PSVT in a middle-aged adult. In patients with a cardiovascular anomaly, clinicians should consider thorough evaluation of possibly combined cardiovascular and airway malformations and cardiac dysrhythmia.

Report this publication

Statistics

Seen <100 times