Lown-Ganong-Levine Syndrome. by Chris Nickson, Last updated January 2, OVERVIEW. bypass close to the AV node connecting the left atrium and the. Background: Lown-Ganong-Levine syndrome, includes a short PR interval, normal QRS complex, and paroxysmal tachycardia. INTRODUCTION. Lown Ganong Levine (LGL) syndrome is a rare short PR interval pre-excitation cardiac conduction abnormality, characterised by episodes of.

Author: Mikakazahn Vora
Country: Serbia
Language: English (Spanish)
Genre: Art
Published (Last): 7 March 2009
Pages: 352
PDF File Size: 3.22 Mb
ePub File Size: 13.44 Mb
ISBN: 788-9-39359-839-2
Downloads: 24826
Price: Free* [*Free Regsitration Required]
Uploader: Kazijinn

Extensive radiofrequency ablation of the proximal coronary sinus and eyndrome right posteroseptal tricuspid annulus area were unsuccessful at that time. Author information Article notes Copyright and License information Disclaimer. The syndrome was once thought to involve an accessory pathway bundle of James that connects the atria directly to the bundle of His. National Center for Biotechnology InformationU.

The retrograde ventriculoatrial VA conduction had decremental properties.

Instead, the retrograde slow AV nodal pathway was eventually ablated successfully at the right lower mid septal area above the coronary sinus ostium. However, attempted cryoablation ofthe James fiber proved its presence. This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Atrial myocarditis as a possible trigger of sudden death. Initial experience with total intravenous anaesthesia with propofol for elective craniotomy.

Am J Case Rep. Comparison of the post-James fiber ablation recovery curve with that of the post-slow pathway ablation curve with James fiber recurrence, ganng was noted that when the A1A2 was less than ms, the post-slow pathway ablation curve fast AV nodal conduction curve deviated downward from that of the pre-James fiber ablation curve slow pathway conduction curve.


Lown–Ganong–Levine syndrome

Endocarditis infective endocarditis Subacute bacterial endocarditis non-infective endocarditis Libman—Sacks endocarditis Nonbacterial thrombotic endocarditis. In the two cases of Lown-Ganong-Levine syndrome, one case had a hypoplastic atrioventricular node, likely to have been caused by EAVNC, and the other had Brechenmacher fibers atrio-Hisian tracts ; of the cases of Wolff-Parkinson-White syndrome, sudden cardiac death was related to a very short ante-grade effective refractory period of the accessory pathway [ 8 ].

Diagrammatic illustration of various forms of atrio-ventricular conduction associated with the presence of an anomalous pathway. Although tachycardia, along with increased stroke volume, enables cardiac output synxrome meet demands in exercise, a very fast tachycardia is inefficient and may cause compromise.

Anaesthetic management of a patient with Lown Ganong Levine syndrome—a case report

Intra-operative events including dysrhythmias were recorded. Professional Reference articles are designed for health professionals to levlne. From A1A2 to the two recovery curves were superimposable, and this was presumed to be the James fiber effective refractory period. Did you find this information useful? In ventricular extrastimuli, the VA conduction progressively lengthened to ms, then jumped to ms, with the earliest retrograde atrial conduction that shifted to the coronary sinus ostium, which induced a retrograde, slow-antegrade, fast AV nodal re-entry.

This article is for Medical Professionals. At one-year follow-up, there was no clinical recurrence of levinr in this patient. Ventricular pre-excitation in children and young adults.

Lown-Ganong-Levine Syndrome | Doctor | Patient

In this case of Lown-Ganong-Levine syndrome, electrophysiologic studies supported the role of the accessory pathway of James fibers. A year-old man presented to our institution with a history of recurrent narrow-complex and wide-complex tachycardia. Cardiac fibrosis Heart failure Diastolic heart failure Cardiac asthma Rheumatic fever.


Please review our privacy policy. Sinus bradycardia Sick sinus syndrome Heart block: In the otherwise healthy person there is probably no other feature but, where the heart and circulation are already compromised, perhaps from coronary heart disease, this can produce angina pectoris, shortness of breath and heart failure.

Thanks for your feedback. Instead, the normal AV nodal pathway was blocked, resulting in the paradoxical response of constant short AH intervals. Adenosine challenge of 0.

In this article arrow-down Epidemiology arrow-down Presentation arrow-down Investigations arrow-down Management arrow-down Prognosis arrow-down Historical. A previous electrophysiologic study at 16 years-of-age demonstrated both antegrade and retrograde dual AV nodal pathways, with pacing-inducible slow and fast AV nodal re-entrant tachycardia. If the James fiber had retrograde AV conduction, it would have been possible to also evaluate the anatomical difference in the atrial lomg site between the James fiber and the fast AV nodal pathway.

He is Professor Emeritus of Cardiology at Harvard.

In the MCI regimen, the anaesthesiologist administers the required bolus dose, followed by a stepped infusion of the anaesthetic agent which is manually adjusted at set time intervals. Airway assessment revealed Mallampatti class II with normal neck and jaw syndromf.