Catheter Ablation of Atrial Tachycardia after Pulmonary Vein Isolation in a Patient with Common Ostium of Inferior Pulmonary Veins: Case Report
<i>Background and Objectives</i>: Atrial fibrillation (AF), a prevalent cardiac arrhythmia, significantly impacts the quality of life of those affected. The preferred treatment for symptomatic AF, particularly when pharmacological methods fall short, is catheter ablation with pulmonary v...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/60/2/264 |
| _version_ | 1797297530878296064 |
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| author | Milos Babic Branko Djurdjevic Dejan Vukajlovic Mihailo Jovicic Masa Petrovic Jelena Kljajevic Milosav Tomovic Aleksandra Nikolic |
| author_facet | Milos Babic Branko Djurdjevic Dejan Vukajlovic Mihailo Jovicic Masa Petrovic Jelena Kljajevic Milosav Tomovic Aleksandra Nikolic |
| author_sort | Milos Babic |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Atrial fibrillation (AF), a prevalent cardiac arrhythmia, significantly impacts the quality of life of those affected. The preferred treatment for symptomatic AF, particularly when pharmacological methods fall short, is catheter ablation with pulmonary vein isolation (PVI). While common pulmonary vein (PV) anatomical variants, such as the right accessory pulmonary vein and the common ostium of left pulmonary veins (LCPV), have been studied extensively, their impact on the long-term outcome of PVI is known to be minimal. However, data on less common anomalies, like the common ostium of the left and right inferior pulmonary vein (CIPV), remain scarce in the medical literature. This report aims to shed light on the challenges and outcomes of catheter ablation in a patient with a rare CIPV anomaly. By presenting this case, we contribute to the limited knowledge about the management of such unique anatomical variations in AF treatment and discuss the importance of individualized treatment approaches. <i>Case Presentation</i>: We present a case involving a 56-year-old male diagnosed with AF in 2018. Initial PVI treatment was successful, but the patient experienced symptom recurrence after three years. A preprocedural CT scan before the second ablation revealed a CIPV anomaly. During the repeat procedure, a right superior pulmonary vein (RSPV) reisolation was performed due to identified gaps in the previous ablation line. Post-procedure, the patient maintained a sinus rhythm and reported no further symptoms. <i>Conclusions</i>: This case highlights the importance of recognizing rare PV anatomies like CIPV in the effective management of AF. Tailored ablation strategies, accounting for unique anatomical conditions, can lead to successful long-term outcomes, reinforcing the need for personalized approaches in AF treatment, especially in cases involving complex anatomical variations. |
| first_indexed | 2024-03-07T22:21:36Z |
| format | Article |
| id | doaj.art-3bfbf24b55bb44a9ae3201108dd42858 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-07T22:21:36Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-3bfbf24b55bb44a9ae3201108dd428582024-02-23T15:26:35ZengMDPI AGMedicina1010-660X1648-91442024-02-0160226410.3390/medicina60020264Catheter Ablation of Atrial Tachycardia after Pulmonary Vein Isolation in a Patient with Common Ostium of Inferior Pulmonary Veins: Case ReportMilos Babic0Branko Djurdjevic1Dejan Vukajlovic2Mihailo Jovicic3Masa Petrovic4Jelena Kljajevic5Milosav Tomovic6Aleksandra Nikolic7Institute for Cardiovascular Diseases “Dedinje”, 11040 Belgrade, SerbiaInstitute for Cardiovascular Diseases “Dedinje”, 11040 Belgrade, SerbiaInstitute for Cardiovascular Diseases “Dedinje”, 11040 Belgrade, SerbiaInstitute for Cardiovascular Diseases “Dedinje”, 11040 Belgrade, SerbiaInstitute for Cardiovascular Diseases “Dedinje”, 11040 Belgrade, SerbiaInstitute for Cardiovascular Diseases “Dedinje”, 11040 Belgrade, SerbiaInstitute for Cardiovascular Diseases “Dedinje”, 11040 Belgrade, SerbiaInstitute for Cardiovascular Diseases “Dedinje”, 11040 Belgrade, Serbia<i>Background and Objectives</i>: Atrial fibrillation (AF), a prevalent cardiac arrhythmia, significantly impacts the quality of life of those affected. The preferred treatment for symptomatic AF, particularly when pharmacological methods fall short, is catheter ablation with pulmonary vein isolation (PVI). While common pulmonary vein (PV) anatomical variants, such as the right accessory pulmonary vein and the common ostium of left pulmonary veins (LCPV), have been studied extensively, their impact on the long-term outcome of PVI is known to be minimal. However, data on less common anomalies, like the common ostium of the left and right inferior pulmonary vein (CIPV), remain scarce in the medical literature. This report aims to shed light on the challenges and outcomes of catheter ablation in a patient with a rare CIPV anomaly. By presenting this case, we contribute to the limited knowledge about the management of such unique anatomical variations in AF treatment and discuss the importance of individualized treatment approaches. <i>Case Presentation</i>: We present a case involving a 56-year-old male diagnosed with AF in 2018. Initial PVI treatment was successful, but the patient experienced symptom recurrence after three years. A preprocedural CT scan before the second ablation revealed a CIPV anomaly. During the repeat procedure, a right superior pulmonary vein (RSPV) reisolation was performed due to identified gaps in the previous ablation line. Post-procedure, the patient maintained a sinus rhythm and reported no further symptoms. <i>Conclusions</i>: This case highlights the importance of recognizing rare PV anatomies like CIPV in the effective management of AF. Tailored ablation strategies, accounting for unique anatomical conditions, can lead to successful long-term outcomes, reinforcing the need for personalized approaches in AF treatment, especially in cases involving complex anatomical variations.https://www.mdpi.com/1648-9144/60/2/264atrial fibrillationatrial tachycardiaarrythmiacatheter ablation |
| spellingShingle | Milos Babic Branko Djurdjevic Dejan Vukajlovic Mihailo Jovicic Masa Petrovic Jelena Kljajevic Milosav Tomovic Aleksandra Nikolic Catheter Ablation of Atrial Tachycardia after Pulmonary Vein Isolation in a Patient with Common Ostium of Inferior Pulmonary Veins: Case Report Medicina atrial fibrillation atrial tachycardia arrythmia catheter ablation |
| title | Catheter Ablation of Atrial Tachycardia after Pulmonary Vein Isolation in a Patient with Common Ostium of Inferior Pulmonary Veins: Case Report |
| title_full | Catheter Ablation of Atrial Tachycardia after Pulmonary Vein Isolation in a Patient with Common Ostium of Inferior Pulmonary Veins: Case Report |
| title_fullStr | Catheter Ablation of Atrial Tachycardia after Pulmonary Vein Isolation in a Patient with Common Ostium of Inferior Pulmonary Veins: Case Report |
| title_full_unstemmed | Catheter Ablation of Atrial Tachycardia after Pulmonary Vein Isolation in a Patient with Common Ostium of Inferior Pulmonary Veins: Case Report |
| title_short | Catheter Ablation of Atrial Tachycardia after Pulmonary Vein Isolation in a Patient with Common Ostium of Inferior Pulmonary Veins: Case Report |
| title_sort | catheter ablation of atrial tachycardia after pulmonary vein isolation in a patient with common ostium of inferior pulmonary veins case report |
| topic | atrial fibrillation atrial tachycardia arrythmia catheter ablation |
| url | https://www.mdpi.com/1648-9144/60/2/264 |
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