Pulsed field ablation of superior vena cava in paroxysmal atrial fibrillation: a case report

Paroxysmal atrial fibrillation originates most commonly in the pulmonary veins. However, the superior vena cava has proved to be arrhythmogenic in some cases. Pulsed field ablation, an emerging ablation technology, selectively affects myocardial tissue. Herein, we present a case of paroxysmal atrial...

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Autores principales: Tao, Yirao, Zhou, Yang, Sun, Xuerong, Liao, Wenkai, Wang, Yanjiang, Shi, Liang, Liu, Xingpeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Cardiovascular Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10347413/
https://www.ncbi.nlm.nih.gov/pubmed/37456819
http://dx.doi.org/10.3389/fcvm.2023.1211674
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author Tao, Yirao
Zhou, Yang
Sun, Xuerong
Liao, Wenkai
Wang, Yanjiang
Shi, Liang
Liu, Xingpeng
author_facet Tao, Yirao
Zhou, Yang
Sun, Xuerong
Liao, Wenkai
Wang, Yanjiang
Shi, Liang
Liu, Xingpeng
author_sort Tao, Yirao
collection PubMed
description Paroxysmal atrial fibrillation originates most commonly in the pulmonary veins. However, the superior vena cava has proved to be arrhythmogenic in some cases. Pulsed field ablation, an emerging ablation technology, selectively affects myocardial tissue. Herein, we present a case of paroxysmal atrial fibrillation in a 64-year-old man who was admitted to our hospital for pulsed field ablation. The tachycardia was recurrent despite four successful pulmonary vein isolations. The superior vena cava was determined to be involved in arrhythmogenesis. The atrial fibrillation terminated immediately after the pulsed field ablation discharge at the superior vena cava.
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spelling pubmed-103474132023-07-15 Pulsed field ablation of superior vena cava in paroxysmal atrial fibrillation: a case report Tao, Yirao Zhou, Yang Sun, Xuerong Liao, Wenkai Wang, Yanjiang Shi, Liang Liu, Xingpeng Front Cardiovasc Med Cardiovascular Medicine Paroxysmal atrial fibrillation originates most commonly in the pulmonary veins. However, the superior vena cava has proved to be arrhythmogenic in some cases. Pulsed field ablation, an emerging ablation technology, selectively affects myocardial tissue. Herein, we present a case of paroxysmal atrial fibrillation in a 64-year-old man who was admitted to our hospital for pulsed field ablation. The tachycardia was recurrent despite four successful pulmonary vein isolations. The superior vena cava was determined to be involved in arrhythmogenesis. The atrial fibrillation terminated immediately after the pulsed field ablation discharge at the superior vena cava. Frontiers Media S.A. 2023-06-30 /pmc/articles/PMC10347413/ /pubmed/37456819 http://dx.doi.org/10.3389/fcvm.2023.1211674 Text en © 2023 Tao, Zhou, Sun, Liao, Wang, Shi and Liu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Tao, Yirao
Zhou, Yang
Sun, Xuerong
Liao, Wenkai
Wang, Yanjiang
Shi, Liang
Liu, Xingpeng
Pulsed field ablation of superior vena cava in paroxysmal atrial fibrillation: a case report
title Pulsed field ablation of superior vena cava in paroxysmal atrial fibrillation: a case report
title_full Pulsed field ablation of superior vena cava in paroxysmal atrial fibrillation: a case report
title_fullStr Pulsed field ablation of superior vena cava in paroxysmal atrial fibrillation: a case report
title_full_unstemmed Pulsed field ablation of superior vena cava in paroxysmal atrial fibrillation: a case report
title_short Pulsed field ablation of superior vena cava in paroxysmal atrial fibrillation: a case report
title_sort pulsed field ablation of superior vena cava in paroxysmal atrial fibrillation: a case report
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10347413/
https://www.ncbi.nlm.nih.gov/pubmed/37456819
http://dx.doi.org/10.3389/fcvm.2023.1211674
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