Common Trunk of the Inferior Pulmonary Veins in a Patient with Paroxysmal Atrial Fibrillation

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著者

    • MIYANAGA Satoru
    • Division of Cardiology, Department of Internal Medicine, Jikei University School of Medicine
    • DATE Taro
    • Division of Cardiology, Department of Internal Medicine, Jikei University School of Medicine
    • YAMANE Teiichi
    • Division of Cardiology, Department of Internal Medicine, Jikei University School of Medicine
    • INADA Keiichi
    • Division of Cardiology, Department of Internal Medicine, Jikei University School of Medicine
    • SHIBAYAMA Kenri
    • Division of Cardiology, Department of Internal Medicine, Jikei University School of Medicine
    • MATSUO Seiichiro
    • Division of Cardiology, Department of Internal Medicine, Jikei University School of Medicine
    • MIYAZAKI Hidekazu
    • Division of Cardiology, Department of Internal Medicine, Jikei University School of Medicine
    • KANZAKI Yasuko
    • Division of Cardiology, Department of Internal Medicine, Jikei University School of Medicine
    • SUGIMOTO Ken-ichi
    • Division of Cardiology, Department of Internal Medicine, Jikei University School of Medicine
    • MOCHIZUKI Seibu
    • Division of Cardiology, Department of Internal Medicine, Jikei University School of Medicine

抄録

Herein we report a case of a patient presenting with paroxysmal atrial fibrillation (PAF) in whom the pulmonary veins (PVs) had a common inferior trunk and PV isolation at the common inferior trunk was successfully performed to prevent recurrence of PAF. A 58-year-old man with drug-resistant PAF was referred to undergo curative treatment at our institution. A three-dimensional image of the PVs re-constructed by contrast-enhanced multi-detector computed tomography before the operation revealed a common inferior trunk of the PVs (24-mm diameter). Segmental ostial PV isolation with the guidance of a circular mapping catheter was performed for both superior PVs and the common inferior PV trunk. All three PV ostia were successfully isolated from the LA, and the patient has been free from PAF thereafter for 18 months. Preprocedural multi-detector computed tomography or magnetic resonance imaging to evaluate the anatomy of PVs (the number, size, and shape) is thus considered to be useful for performing safe and smooth catheter ablation in patients with PAF.

収録刊行物

  • Journal of arrhythmia  

    Journal of arrhythmia 22(2), 115-118, 2006-08-25 

    Japanese Heart Rhythm Society

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各種コード

  • NII論文ID(NAID)
    10018040799
  • NII書誌ID(NCID)
    AA12059301
  • 本文言語コード
    ENG
  • 資料種別
    NOT
  • ISSN
    18804276
  • データ提供元
    CJP書誌  J-STAGE 
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