Symptomatic paroxysmal atrial fibrillation in a patient with unilateral pulmonary vein atresia

A 52-year-old man with symptomatic paroxysmal atrial fibrillation was offered an atrial fibrillation (AF) ablation procedure. His echocardiogram indicated that he had no structural heart disease. A cardiac computed tomographic (CT) scan showed enlargement of the right pulmonary veins, absence of the...

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Main Authors: Sharmila Sehli, David M Donaldson
Format: Article
Language:English
Published: Southwest Respiratory and Critical Care Chronicles 2015-01-01
Series:Southwest Respiratory and Critical Care Chronicles
Subjects:
Online Access:http://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/182
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author Sharmila Sehli
David M Donaldson
author_facet Sharmila Sehli
David M Donaldson
author_sort Sharmila Sehli
collection DOAJ
description A 52-year-old man with symptomatic paroxysmal atrial fibrillation was offered an atrial fibrillation (AF) ablation procedure. His echocardiogram indicated that he had no structural heart disease. A cardiac computed tomographic (CT) scan showed enlargement of the right pulmonary veins, absence of the left pulmonary veins, a prominent left atrial appendage, and a hypoplastic left lung. Cardiac CT with an electroanatomic mapping system confirmed a prominent left atrial appendage and the absence of the left pulmonary veins. Due to the limited number of patients with this condition, information about ablation remains very limited, and his ablation was deferred. Unilateral pulmonary vein atresia is a rare condition in adults which results from failure of incorporation of the common pulmonary vein into the left atrium. This case demonstrates the clinical importance of preprocedural imaging prior to AF ablation.
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spelling doaj.art-971fb74d027d425d9393732eda36ffe12022-12-22T02:02:12ZengSouthwest Respiratory and Critical Care ChroniclesSouthwest Respiratory and Critical Care Chronicles2325-92052015-01-01394951166Symptomatic paroxysmal atrial fibrillation in a patient with unilateral pulmonary vein atresiaSharmila Sehli0David M Donaldson1a fellow in cardiac electrophysiology at The Warren Alpert Medical School of Brown University, Providence, Rhode Island.a Clinical Assistant Professor of Medicine at The Warren Alpert Medical School of Brown UniversityA 52-year-old man with symptomatic paroxysmal atrial fibrillation was offered an atrial fibrillation (AF) ablation procedure. His echocardiogram indicated that he had no structural heart disease. A cardiac computed tomographic (CT) scan showed enlargement of the right pulmonary veins, absence of the left pulmonary veins, a prominent left atrial appendage, and a hypoplastic left lung. Cardiac CT with an electroanatomic mapping system confirmed a prominent left atrial appendage and the absence of the left pulmonary veins. Due to the limited number of patients with this condition, information about ablation remains very limited, and his ablation was deferred. Unilateral pulmonary vein atresia is a rare condition in adults which results from failure of incorporation of the common pulmonary vein into the left atrium. This case demonstrates the clinical importance of preprocedural imaging prior to AF ablation.http://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/182Atrial fibrillationpulmonary vein atresia
spellingShingle Sharmila Sehli
David M Donaldson
Symptomatic paroxysmal atrial fibrillation in a patient with unilateral pulmonary vein atresia
Southwest Respiratory and Critical Care Chronicles
Atrial fibrillation
pulmonary vein atresia
title Symptomatic paroxysmal atrial fibrillation in a patient with unilateral pulmonary vein atresia
title_full Symptomatic paroxysmal atrial fibrillation in a patient with unilateral pulmonary vein atresia
title_fullStr Symptomatic paroxysmal atrial fibrillation in a patient with unilateral pulmonary vein atresia
title_full_unstemmed Symptomatic paroxysmal atrial fibrillation in a patient with unilateral pulmonary vein atresia
title_short Symptomatic paroxysmal atrial fibrillation in a patient with unilateral pulmonary vein atresia
title_sort symptomatic paroxysmal atrial fibrillation in a patient with unilateral pulmonary vein atresia
topic Atrial fibrillation
pulmonary vein atresia
url http://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/182
work_keys_str_mv AT sharmilasehli symptomaticparoxysmalatrialfibrillationinapatientwithunilateralpulmonaryveinatresia
AT davidmdonaldson symptomaticparoxysmalatrialfibrillationinapatientwithunilateralpulmonaryveinatresia