Total absence of pulmonary vein potentials in a patient with paroxysmal atrial fibrillation: was it really isolated?

We herein present a case (72 years, male) with total absence of pulmonary veins (PVs) potentials at the beginning of the first procedure for paroxysmal atrial fibrillation (AF), demonstrating dormant conduction between the left atrium and all PVs revealed by adenosine triphosphate provocation with r...

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Published inHeart and vessels Vol. 32; no. 4; pp. 501 - 505
Main Authors Yokoyama, Kenichi, Yamashita, Seigo, Tokutake, Kenichi, Narui, Ryohsuke, Kato, Mika, Tanigawa, Shinichi, Tokuda, Michifumi, Inada, Keiichi, Matsuo, Seiichiro, Shibayama, Kenri, Miyanaga, Satoru, Yoshimura, Michihiro, Yamane, Teiichi
Format Journal Article
LanguageEnglish
Published Tokyo Springer Japan 01.04.2017
Springer Nature B.V
Subjects
Adenosine triphosphatase
Adenosine Triphosphate - administration & dosage
Aged
Atrial Fibrillation - surgery
Biomedical Engineering and Bioengineering
Cardiac arrhythmia
Cardiac Surgery
Cardiology
Case Report
Catheter Ablation
Coronary vessels
Humans
Male
Medicine
Medicine & Public Health
Pulmonary Veins - physiopathology
Pulmonary Veins - surgery
Treatment Outcome
Vascular Surgery
Dormant conduction
Ablation
Atrial fibrillation
Adenosine triphosphate
Pulmonary vein isolation
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Summary:We herein present a case (72 years, male) with total absence of pulmonary veins (PVs) potentials at the beginning of the first procedure for paroxysmal atrial fibrillation (AF), demonstrating dormant conduction between the left atrium and all PVs revealed by adenosine triphosphate provocation with relation to the incidence of AF. He was free from atrial arrhythmias during 1 year follow-up after complete PV isolation with the elimination of multiple transient dormant conductions by circular mapping catheter guide ablation.
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ISSN:0910-8327
1615-2573
DOI:10.1007/s00380-016-0928-5