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Arrhythmogenic left atrial roof vein

A seventy year-old male was referred to our hospital to undergo radiofrequency catheter ablation (RFCA) for drug-refractory paroxysmal atrial fibrillation (AF). Pre-operative three-dimensional computed tomography revealed a unique left atrial (LA) roof vein. Electrophysiological findings showed expa...

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Detalles Bibliográficos
Autores principales: Fukaya, Hidehira, Niwano, Shinichi, Nakamura, Hironori, Igarashi, Tazuru, Fujiishi, Tamami, Ishizue, Naruya, Satoh, Akira, Kishihara, Jun, Ako, Junya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5634677/
https://www.ncbi.nlm.nih.gov/pubmed/29021857
http://dx.doi.org/10.1016/j.joa.2017.04.011
Descripción
Sumario:A seventy year-old male was referred to our hospital to undergo radiofrequency catheter ablation (RFCA) for drug-refractory paroxysmal atrial fibrillation (AF). Pre-operative three-dimensional computed tomography revealed a unique left atrial (LA) roof vein. Electrophysiological findings showed expansion of the myocardial sleeve and local firing in the LA roof vein. We performed isolation of this arrhythmogenic abnormal vein concomitant with general pulmonary vein isolation in this case, and AF did not recur after the procedure.