Pulmonary vein firing triggering atrial fibrillation after open heart surgery.

Abstract:

:We report the case of a 44-year-old woman with obstructive hypertrophic cardiomyopathy without history of prior arrhythmias who underwent surgical myectomy. She developed symptomatic postoperative atrial fibrillation (AF) that was refractory to antiarrhythmic therapy and could not be adequately rate controlled. AF always was preceded by short and fast runs of atrial tachycardia. In the electrophysiology laboratory, this arrhythmia appeared to originate from the right superior pulmonary vein and conducted with variable degrees of exit block. Pulmonary vein isolation guided by circular mapping was performed, and no further episodes of either atrial tachycardia or AF were noted. This case highlights the potential role of the pulmonary veins in the pathophysiology of postoperative AF.

authors

Saad EB,Saliba WI,Marrouche NF,Natale A

doi

10.1046/j.1540-8167.2002.01300.x

keywords:

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

1300-2

issue

12

eissn

1045-3873

issn

1540-8167

journal_volume

13

pub_type

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