A case of an atrial tachycardia originating from an occluded coronary sinus ostium with a persistent left superior vena cava

We present a case of a 37-year-old female who complained of frequent palpitations caused by an atrial tachycardia and atrial premature contractions. Angiography revealed that the coronary sinus was occluded at the ostium and connected to a persistent left superior vena cava. An electrophysiological...

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Autores principales: Hirao, Tatsuhiko, Yamauchi, Yasuteru, Sato, Hironori, Yamashita, Shu, Yagishita, Atsuhiko, Miyamoto, Takamichi, Goya, Masahiko, Hirao, Kenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5652272/
https://www.ncbi.nlm.nih.gov/pubmed/29192592
http://dx.doi.org/10.1016/j.ipej.2017.07.004
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author Hirao, Tatsuhiko
Yamauchi, Yasuteru
Sato, Hironori
Yamashita, Shu
Yagishita, Atsuhiko
Miyamoto, Takamichi
Goya, Masahiko
Hirao, Kenzo
author_facet Hirao, Tatsuhiko
Yamauchi, Yasuteru
Sato, Hironori
Yamashita, Shu
Yagishita, Atsuhiko
Miyamoto, Takamichi
Goya, Masahiko
Hirao, Kenzo
author_sort Hirao, Tatsuhiko
collection PubMed
description We present a case of a 37-year-old female who complained of frequent palpitations caused by an atrial tachycardia and atrial premature contractions. Angiography revealed that the coronary sinus was occluded at the ostium and connected to a persistent left superior vena cava. An electrophysiological study and three-dimensional mapping revealed that the origin of the atrial tachycardia and atrial premature contractions was at the coronary sinus ostium in the right atrium. After repeat applications of radiofrequency energy at that site, no further atrial tachycardia or atrial premature contractions were induced by atrial burst pacing. To the best of our knowledge, this is the first report of an atrial tachycardia originating from an occluded coronary sinus ostium.
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spelling pubmed-56522722017-10-30 A case of an atrial tachycardia originating from an occluded coronary sinus ostium with a persistent left superior vena cava Hirao, Tatsuhiko Yamauchi, Yasuteru Sato, Hironori Yamashita, Shu Yagishita, Atsuhiko Miyamoto, Takamichi Goya, Masahiko Hirao, Kenzo Indian Pacing Electrophysiol J Case Report We present a case of a 37-year-old female who complained of frequent palpitations caused by an atrial tachycardia and atrial premature contractions. Angiography revealed that the coronary sinus was occluded at the ostium and connected to a persistent left superior vena cava. An electrophysiological study and three-dimensional mapping revealed that the origin of the atrial tachycardia and atrial premature contractions was at the coronary sinus ostium in the right atrium. After repeat applications of radiofrequency energy at that site, no further atrial tachycardia or atrial premature contractions were induced by atrial burst pacing. To the best of our knowledge, this is the first report of an atrial tachycardia originating from an occluded coronary sinus ostium. Elsevier 2017-07-10 /pmc/articles/PMC5652272/ /pubmed/29192592 http://dx.doi.org/10.1016/j.ipej.2017.07.004 Text en Copyright © 2017, Indian Heart Rhythm Society. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hirao, Tatsuhiko
Yamauchi, Yasuteru
Sato, Hironori
Yamashita, Shu
Yagishita, Atsuhiko
Miyamoto, Takamichi
Goya, Masahiko
Hirao, Kenzo
A case of an atrial tachycardia originating from an occluded coronary sinus ostium with a persistent left superior vena cava
title A case of an atrial tachycardia originating from an occluded coronary sinus ostium with a persistent left superior vena cava
title_full A case of an atrial tachycardia originating from an occluded coronary sinus ostium with a persistent left superior vena cava
title_fullStr A case of an atrial tachycardia originating from an occluded coronary sinus ostium with a persistent left superior vena cava
title_full_unstemmed A case of an atrial tachycardia originating from an occluded coronary sinus ostium with a persistent left superior vena cava
title_short A case of an atrial tachycardia originating from an occluded coronary sinus ostium with a persistent left superior vena cava
title_sort case of an atrial tachycardia originating from an occluded coronary sinus ostium with a persistent left superior vena cava
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5652272/
https://www.ncbi.nlm.nih.gov/pubmed/29192592
http://dx.doi.org/10.1016/j.ipej.2017.07.004
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