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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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
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author Mitarai, Kazuki
Kondo, Hidekazu
Shinohara, Tetsuji
Uchida, Naoki
Wakabayashi, Tetsuro
Shinozaki, Kazuhiro
Zaizen, Hirofumi
Takahashi, Naohiko
author_facet Mitarai, Kazuki
Kondo, Hidekazu
Shinohara, Tetsuji
Uchida, Naoki
Wakabayashi, Tetsuro
Shinozaki, Kazuhiro
Zaizen, Hirofumi
Takahashi, Naohiko
author_sort Mitarai, Kazuki
collection PubMed
description 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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spelling pubmed-103329662023-07-12 Adolescent Persistent Atrial Fibrillation Concomitant with Pectus Excavatum Mitarai, Kazuki Kondo, Hidekazu Shinohara, Tetsuji Uchida, Naoki Wakabayashi, Tetsuro Shinozaki, Kazuhiro Zaizen, Hirofumi Takahashi, Naohiko Intern Med Case Report 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. The Japanese Society of Internal Medicine 2022-10-26 2023-06-15 /pmc/articles/PMC10332966/ /pubmed/36288988 http://dx.doi.org/10.2169/internalmedicine.0744-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Mitarai, Kazuki
Kondo, Hidekazu
Shinohara, Tetsuji
Uchida, Naoki
Wakabayashi, Tetsuro
Shinozaki, Kazuhiro
Zaizen, Hirofumi
Takahashi, Naohiko
Adolescent Persistent Atrial Fibrillation Concomitant with Pectus Excavatum
title Adolescent Persistent Atrial Fibrillation Concomitant with Pectus Excavatum
title_full Adolescent Persistent Atrial Fibrillation Concomitant with Pectus Excavatum
title_fullStr Adolescent Persistent Atrial Fibrillation Concomitant with Pectus Excavatum
title_full_unstemmed Adolescent Persistent Atrial Fibrillation Concomitant with Pectus Excavatum
title_short Adolescent Persistent Atrial Fibrillation Concomitant with Pectus Excavatum
title_sort adolescent persistent atrial fibrillation concomitant with pectus excavatum
topic Case Report
url 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
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