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The usefulness of ventricular pacing during atrial fibrillation ablation in a persistent left superior vena cava: A case report

A 69-year-old woman with palpitations was referred to our hospital for a second session of atrial fibrillation (AF) catheter ablation. She had a history of AF ablation including pulmonary vein (PV) isolation and persistent left superior vena cava (PLSVC) isolation. Electrophysiologic studies showed...

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Autores principales: Matsumoto, Sen, Matsunaga-Lee, Yasuharu, Masunaga, Nobutaka, Takano, Yuzuru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090002/
https://www.ncbi.nlm.nih.gov/pubmed/29660447
http://dx.doi.org/10.1016/j.ipej.2018.04.003
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author Matsumoto, Sen
Matsunaga-Lee, Yasuharu
Masunaga, Nobutaka
Takano, Yuzuru
author_facet Matsumoto, Sen
Matsunaga-Lee, Yasuharu
Masunaga, Nobutaka
Takano, Yuzuru
author_sort Matsumoto, Sen
collection PubMed
description A 69-year-old woman with palpitations was referred to our hospital for a second session of atrial fibrillation (AF) catheter ablation. She had a history of AF ablation including pulmonary vein (PV) isolation and persistent left superior vena cava (PLSVC) isolation. Electrophysiologic studies showed the veno-atrial connections that had recovered. After PV isolation was performed, AF was induced by atrial premature contraction (APC) from the PLSVC, and AF storm occurred. During PLSVC isolation, AF was not induced by APC from the PLSVC. PLSVC isolation continued during sinus rhythm. The elimination of the PLSVC potential was difficult to confirm because of the far-field potential of the left ventricle. Then, we performed right ventricular pacing. The remaining PLSVC potential was identified. After that, the PLSVC isolation was successful during right ventricular pacing. Complications were not observed. The patient had no recurrence of AF thereafter.
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spelling pubmed-60900022018-08-16 The usefulness of ventricular pacing during atrial fibrillation ablation in a persistent left superior vena cava: A case report Matsumoto, Sen Matsunaga-Lee, Yasuharu Masunaga, Nobutaka Takano, Yuzuru Indian Pacing Electrophysiol J Case Report A 69-year-old woman with palpitations was referred to our hospital for a second session of atrial fibrillation (AF) catheter ablation. She had a history of AF ablation including pulmonary vein (PV) isolation and persistent left superior vena cava (PLSVC) isolation. Electrophysiologic studies showed the veno-atrial connections that had recovered. After PV isolation was performed, AF was induced by atrial premature contraction (APC) from the PLSVC, and AF storm occurred. During PLSVC isolation, AF was not induced by APC from the PLSVC. PLSVC isolation continued during sinus rhythm. The elimination of the PLSVC potential was difficult to confirm because of the far-field potential of the left ventricle. Then, we performed right ventricular pacing. The remaining PLSVC potential was identified. After that, the PLSVC isolation was successful during right ventricular pacing. Complications were not observed. The patient had no recurrence of AF thereafter. Elsevier 2018-04-13 /pmc/articles/PMC6090002/ /pubmed/29660447 http://dx.doi.org/10.1016/j.ipej.2018.04.003 Text en © 2018 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
Matsumoto, Sen
Matsunaga-Lee, Yasuharu
Masunaga, Nobutaka
Takano, Yuzuru
The usefulness of ventricular pacing during atrial fibrillation ablation in a persistent left superior vena cava: A case report
title The usefulness of ventricular pacing during atrial fibrillation ablation in a persistent left superior vena cava: A case report
title_full The usefulness of ventricular pacing during atrial fibrillation ablation in a persistent left superior vena cava: A case report
title_fullStr The usefulness of ventricular pacing during atrial fibrillation ablation in a persistent left superior vena cava: A case report
title_full_unstemmed The usefulness of ventricular pacing during atrial fibrillation ablation in a persistent left superior vena cava: A case report
title_short The usefulness of ventricular pacing during atrial fibrillation ablation in a persistent left superior vena cava: A case report
title_sort usefulness of ventricular pacing during atrial fibrillation ablation in a persistent left superior vena cava: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090002/
https://www.ncbi.nlm.nih.gov/pubmed/29660447
http://dx.doi.org/10.1016/j.ipej.2018.04.003
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