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上腔静脉隔离在部分性肺静脉异常患者持续性房颤成功消融中的重要性

Importance of superior vena cava isolation in successful ablation of persistent atrial fibrillation in patient with partial anomalous pulmonary vein.

作者信息

Agarwal Sharad C, Bittinger Logan, Tang Anthony S

机构信息

Department of Cardiology, Royal Jubilee Hospital, Victoria, British Columbia, Canada.

出版信息

Pacing Clin Electrophysiol. 2013 May;36(5):e146-9. doi: 10.1111/j.1540-8159.2012.03508.x. Epub 2012 Sep 11.

DOI:10.1111/j.1540-8159.2012.03508.x
PMID:22966983
Abstract

Ectopic foci arising from pulmonary veins (PVs) are the predominant sources for the initiation and maintenance of atrial fibrillation (AF) in a vast majority of cases. However, ectopic foci also exist in the non-PV areas like superior vena cava (SVC) in 10-20% of the cases. We report the significance of SVC isolation in a patient with persistent AF and anomalous pulmonary venous connection of the right superior pulmonary vein into the SVC.

摘要

在绝大多数情况下，源自肺静脉（PVs）的异位灶是心房颤动（AF）起始和维持的主要来源。然而，在10%-20%的病例中，异位灶也存在于非肺静脉区域，如 superior vena cava（SVC）。我们报告了在一名持续性房颤患者中，右肺上静脉异常连接至SVC时，SVC隔离的意义。

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