%0 Case Reports %T Orthodromic AVRT With 2 Different Wide QRS Complexes Caused by Bilateral Bystander Nodoventricular Pathways. %A Kawabata M %A Maeda S %A Kamata T %A Kawashima T %A Yonai R %A Okishige K %A Atarashi H %A Hirao K %J JACC Case Rep %V 28 %N 0 %D 2023 Dec 20 %M 38204546 暂无%R 10.1016/j.jaccas.2023.102130 %X We present a case of orthodromic atrioventricular re-entrant tachycardia exhibiting both right and left bundle branch block pattern wide QRS morphologies caused by bilateral bystander nodoventricular (NV) accessory pathways. These wide QRS morphologies came from pre-excitation accompanied by delta waves. In the context of NV accessory pathways, left-sided manifest NV accessory pathways are rare.