Atrial Fibrillation Ablation Without Pulmonary Vein Isolation in a Patient with Fontan Palliation
| Autor: | Joseph Kay, Emily Ruckdeschel, William H. Sauer, Duy T. Nguyen |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Isolation (health care) medicine.medical_treatment Left atrium 030204 cardiovascular system & hematology Fontan Procedure Pulmonary vein Electrocardiography 03 medical and health sciences 0302 clinical medicine Superior vena cava Physiology (medical) Internal medicine Atrial Fibrillation Humans Medicine In patient cardiovascular diseases 030212 general & internal medicine business.industry Atrial fibrillation medicine.disease Ablation medicine.anatomical_structure Pulmonary Veins Catheter Ablation cardiovascular system Cardiology Right atrium Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Cardiac Electrophysiology Clinics. 8:161-164 |
| ISSN: | 1877-9182 |
| Popis: | In a patient with Fontan palliation and persistent atrial fibrillation two triggers were identified that initiated atrial fibrillation (AF) from the superior vena cava (SVC) and the right atrium. SVC triggers are more common in patients with a normal-sized left atrium. Eliminating these triggers prevented AF from being sustained in this patient and thus pulmonary vein isolation was not pursued. The patient has remained AF free for 3 years without medications or repeat ablation. Targeting of potential right-sided triggers for AF ablation, before pulmonary vein isolation, should be considered; such an approach may reduce risks in these complex patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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