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Isolated Wolff-Parkinson-White syndrome in identical twins

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1 Isolated Wolff-Parkinson-White syndrome in identical twins
Michael E. Field, MD, FHRS, Jennifer J. Laffin, PhD, Jonathan J. Langberg, MD, Nicholas H. Von Bergen, MD  HeartRhythm Case Reports  Volume 4, Issue 4, Pages (April 2018) DOI: /j.hrcr Copyright © 2018 Heart Rhythm Society Terms and Conditions

2 Figure 1 A: Presenting electrocardiogram from identical twin 1 is shown. B: Presenting electrocardiogram from identical twin 2 is shown. Note there is pre-excitation with a similar pattern of pre-excitation among the twins. C: Successful ablation site of accessory pathway in identical twin 1 is shown in this left anterior oblique fluoroscopic image. The ablation catheter (arrow) is at the successful site of accessory pathway ablation along the posterior mitral annulus. D: Successful ablation site of accessory pathway in identical twin 2 is shown in this left anterior oblique 3-dimensional mapping system image (EnSite Velocity, St. Jude Medical). Successful ablation site (arrow) is shown in a similar location along the posterior mitral annulus, with red markers representing radiofrequency lesions. An octapolar catheter in the proximal coronary sinus is shown in yellow, a quadripolar catheter at the His bundle location is shown in green, and a quadripolar catheter at the right atrium is shown in white. In both C and D, dashed circle represents the approximate location of the mitral annulus. CS = coronary sinus; His = His bundle; MA = mitral annulus; RA = right atrium; RV = right ventricle. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

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