Left free wall-sided Mahaim type fiber and A-V nodal reentry tachycardia: Unusual but not impossible combination

A 52-year-old patient with previous catheter ablation of A-V nodal reentrant tachycardia (AVNRT) had a redo procedure for reported recurrence. During the study, AVNRT was not inducible, but a previously unrecognized left-sided Mahaim-type accessory pathway was diagnosed and ablated successfully.