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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Format: | Article |
Language: | English |
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Southwest Respiratory and Critical Care Chronicles
2015-01-01
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Series: | Southwest Respiratory and Critical Care Chronicles |
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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. |
first_indexed | 2024-12-10T04:29:32Z |
format | Article |
id | doaj.art-971fb74d027d425d9393732eda36ffe1 |
institution | Directory Open Access Journal |
issn | 2325-9205 |
language | English |
last_indexed | 2024-12-10T04:29:32Z |
publishDate | 2015-01-01 |
publisher | Southwest Respiratory and Critical Care Chronicles |
record_format | Article |
series | Southwest Respiratory and Critical Care Chronicles |
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 |