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A Nodoventricular Fiber Associated with Dual AV Nodal Conduction, AV Nodal Reentrant Tachycardia, and Anterior Location of the Slow AV Nodal Pathway

We present a case of a patient with a nodoventricular tract, associated with dual AV nodal conduction and AV nodal reentrant tachycardia, and an anteroseptal location of the slow AV nodal pathway. The remarkable feature of this case is the site of successful ablation, in the anteroseptum just anterior and superior to the His bundle, where both preexcitation and dual AV nodal physiology were abolished.