A case of prolonged sinus arrest for 5 minutes after Cryo‐balloon ablation to the left superior pulmonary vein

Abstract A 63‐year‐old man was referred to our hospital for his palpitation due to atrial fibrillation. He was admitted for catheter ablation. Cryoablation was applied to the left superior pulmonary vein for 180 seconds, and its potential disappeared in 22 seconds. The lowest temperature was −45°C....

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Main Authors: Tomonori Miki, Hirokazu Shiraishi, Takeshi Shirayama, Satoaki Matoba
Format: Article
Language:English
Published: Wiley 2020-02-01
Series:Journal of Arrhythmia
Subjects:
Online Access:https://doi.org/10.1002/joa3.12268
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author Tomonori Miki
Hirokazu Shiraishi
Takeshi Shirayama
Satoaki Matoba
author_facet Tomonori Miki
Hirokazu Shiraishi
Takeshi Shirayama
Satoaki Matoba
author_sort Tomonori Miki
collection DOAJ
description Abstract A 63‐year‐old man was referred to our hospital for his palpitation due to atrial fibrillation. He was admitted for catheter ablation. Cryoablation was applied to the left superior pulmonary vein for 180 seconds, and its potential disappeared in 22 seconds. The lowest temperature was −45°C. Suddenly, sinus arrest was observed 1 minute after the completion of freezing. The right ventricle was paced but no atrial potential was observed for 5 minutes until normal sinus rhythm resumed. We report a case of severe sinus arrest after cryoablation to the left pulmonary vein.
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spelling doaj.art-90ec345000b44b72ab7c7058280db1942022-12-21T19:25:00ZengWileyJournal of Arrhythmia1880-42761883-21482020-02-0136118618810.1002/joa3.12268A case of prolonged sinus arrest for 5 minutes after Cryo‐balloon ablation to the left superior pulmonary veinTomonori Miki0Hirokazu Shiraishi1Takeshi Shirayama2Satoaki Matoba3Department of Cardiovascular Medicine Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Cardiovascular Medicine Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Cardiovascular Medicine Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Cardiovascular Medicine Kyoto Prefectural University of Medicine Kyoto JapanAbstract A 63‐year‐old man was referred to our hospital for his palpitation due to atrial fibrillation. He was admitted for catheter ablation. Cryoablation was applied to the left superior pulmonary vein for 180 seconds, and its potential disappeared in 22 seconds. The lowest temperature was −45°C. Suddenly, sinus arrest was observed 1 minute after the completion of freezing. The right ventricle was paced but no atrial potential was observed for 5 minutes until normal sinus rhythm resumed. We report a case of severe sinus arrest after cryoablation to the left pulmonary vein.https://doi.org/10.1002/joa3.12268atrial fibrillationcryoballoon ablationpulmonary vein isolationvagal response
spellingShingle Tomonori Miki
Hirokazu Shiraishi
Takeshi Shirayama
Satoaki Matoba
A case of prolonged sinus arrest for 5 minutes after Cryo‐balloon ablation to the left superior pulmonary vein
Journal of Arrhythmia
atrial fibrillation
cryoballoon ablation
pulmonary vein isolation
vagal response
title A case of prolonged sinus arrest for 5 minutes after Cryo‐balloon ablation to the left superior pulmonary vein
title_full A case of prolonged sinus arrest for 5 minutes after Cryo‐balloon ablation to the left superior pulmonary vein
title_fullStr A case of prolonged sinus arrest for 5 minutes after Cryo‐balloon ablation to the left superior pulmonary vein
title_full_unstemmed A case of prolonged sinus arrest for 5 minutes after Cryo‐balloon ablation to the left superior pulmonary vein
title_short A case of prolonged sinus arrest for 5 minutes after Cryo‐balloon ablation to the left superior pulmonary vein
title_sort case of prolonged sinus arrest for 5 minutes after cryo balloon ablation to the left superior pulmonary vein
topic atrial fibrillation
cryoballoon ablation
pulmonary vein isolation
vagal response
url https://doi.org/10.1002/joa3.12268
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