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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Main Authors: Yirao Tao, Yang Zhou, Xuerong Sun, Wenkai Liao, Yanjiang Wang, Liang Shi, Xingpeng Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2023.1211674/full
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author Yirao Tao
Yang Zhou
Xuerong Sun
Wenkai Liao
Yanjiang Wang
Liang Shi
Xingpeng Liu
author_facet Yirao Tao
Yang Zhou
Xuerong Sun
Wenkai Liao
Yanjiang Wang
Liang Shi
Xingpeng Liu
author_sort Yirao Tao
collection DOAJ
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 doaj.art-094395d8851d43b08dba61303b27315b2023-06-30T12:46:22ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-06-011010.3389/fcvm.2023.12116741211674Pulsed field ablation of superior vena cava in paroxysmal atrial fibrillation: a case reportYirao TaoYang ZhouXuerong SunWenkai LiaoYanjiang WangLiang ShiXingpeng LiuParoxysmal 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.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1211674/fullpulsed field ablationparoxysmal atrial fibrillationsuperior vena cavaarrhythmogenesisradiofrequency ablation
spellingShingle Yirao Tao
Yang Zhou
Xuerong Sun
Wenkai Liao
Yanjiang Wang
Liang Shi
Xingpeng Liu
Pulsed field ablation of superior vena cava in paroxysmal atrial fibrillation: a case report
Frontiers in Cardiovascular Medicine
pulsed field ablation
paroxysmal atrial fibrillation
superior vena cava
arrhythmogenesis
radiofrequency ablation
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 pulsed field ablation
paroxysmal atrial fibrillation
superior vena cava
arrhythmogenesis
radiofrequency ablation
url https://www.frontiersin.org/articles/10.3389/fcvm.2023.1211674/full
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