Tao Yirao, Zhou Yang, Sun Xuerong, Liao Wenkai, Wang Yanjiang, Shi Liang, Liu Xingpeng
Heart Center, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Front Cardiovasc Med. 2023 Jun 30;10:1211674. doi: 10.3389/fcvm.2023.1211674. eCollection 2023.
Paroxysmal atrial fibrillation originates most commonly in the pulmonary veins. However, the superior vena cava has proved to be arrhythmogenic in some cases. Pulsed field ablation, an emerging ablation technology, selectively affects myocardial tissue. Herein, we present a case of paroxysmal atrial fibrillation in a 64-year-old man who was admitted to our hospital for pulsed field ablation. The tachycardia was recurrent despite four successful pulmonary vein isolations. The superior vena cava was determined to be involved in arrhythmogenesis. The atrial fibrillation terminated immediately after the pulsed field ablation discharge at the superior vena cava.
阵发性心房颤动最常见于肺静脉起源。然而,上腔静脉在某些情况下已被证明具有致心律失常作用。脉冲场消融是一种新兴的消融技术,可选择性地影响心肌组织。在此,我们报告一例64岁男性阵发性心房颤动患者,因脉冲场消融入院。尽管成功进行了四次肺静脉隔离,但心动过速仍反复发作。确定上腔静脉参与了心律失常的发生。在上腔静脉进行脉冲场消融放电后,心房颤动立即终止。