It is very rare that three accessory pathways exist in a patient with Wolff-Parkinson-White (WPW) syndrome. In the reported case three overt accessory pathways, all left-sided (left anterolateral, left posterolateral and posteroseptal) existed in association with WPW syndrome. All three accessory pathways were successfully eliminated in the same session by radiofrequency catheter ablation. This is to our knowledge the first reported case that ablation in a single session of overt three accessory pathways localized on the same side of heart, was accomplished.
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