Radiofrequency catheter ablation in a child with Wolff-Parkinson-White syndrome and congenitally corrected transposition of the great arteries.

The case is presented of a five-year-old boy with Wolff-Parkinson-White syndrome, who had undergone three surgical palliations because of congenitally corrected transposition of the great arteries, ventricular septal defect and pulmonary trunk near-atresia. Successful and uncomplicated radiofrequency catheter ablation of an accessory pathway located across the systemic atrioventricular valve ring was performed. The procedure was motivated by forthcoming corrective surgery, which would preclude venous access to the heart. This case emphasizes the need for precise timing of ablative therapy in such patients and shows that surgery itself may facilitate catheter ablation. (Cardiol J 2007; 14: 500-503).