Adolescent Persistent Atrial Fibrillation Concomitant with Pectus Excavatum

A 19-year-old man with pectus excavatum developed symptomatic persistent atrial fibrillation (AF). He had no remarkable medical history or comorbidities and had not exercised intensely during childhood. Electrical cardioversion and pre-treatment with amiodarone for two months failed to maintain sinu...

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Detalles Bibliográficos
Autores principales: Mitarai, Kazuki, Kondo, Hidekazu, Shinohara, Tetsuji, Uchida, Naoki, Wakabayashi, Tetsuro, Shinozaki, Kazuhiro, Zaizen, Hirofumi, Takahashi, Naohiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332966/
https://www.ncbi.nlm.nih.gov/pubmed/36288988
http://dx.doi.org/10.2169/internalmedicine.0744-22
Descripción
Sumario:A 19-year-old man with pectus excavatum developed symptomatic persistent atrial fibrillation (AF). He had no remarkable medical history or comorbidities and had not exercised intensely during childhood. Electrical cardioversion and pre-treatment with amiodarone for two months failed to maintain sinus rhythm. Computed tomography before ablation revealed compression of the right and left atria between the sternal bone and vertebral bodies. Voltage mapping revealed that the right and left atrial voltages were preserved within the normal limit. However, radiofrequency catheter ablation successfully eliminated recurrent persistent AF. No recurrence was observed during eight months of follow-up.

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