ABSTRACT
We present a case of a 19-year-old patient with incessant arrhythmias originating from the right upper pulmonary vein (RUPV) presenting as frequent premature beats, automatic rhythms mimicking sinus rhythm (SR) and pulmonary vein tachycardias. Morphology of P' wave resembled sinus P wave due to relatively short distance of the ectopic focus from the sinus node. Occasionally, when discharges from the focus were relatively slow (800-500 ms) and regular it was mimicking sinus rhythm. Activation preceding P' wave during arrhythmia was recorded in RUPV as well as in superior vena cava. In this paper we discuss our approach that allowed localising the arrhythmogenic focus in the RUPV. After isolation of the RUPV sinus rhythm was restored with tachycardia at a cycle length of 320 ms continuing in the isolated vein.
Subject(s)
Atrial Fibrillation/surgery , Atrial Premature Complexes/surgery , Catheter Ablation/methods , Electrophysiologic Techniques, Cardiac/methods , Pulmonary Veins/surgery , Tachycardia, Ectopic Atrial/surgery , Adult , Atrial Fibrillation/physiopathology , Atrial Premature Complexes/physiopathology , Bradycardia/physiopathology , Bradycardia/surgery , Electrocardiography/methods , Electrophysiology/methods , Humans , Male , Pulmonary Veins/physiopathology , Tachycardia, Ectopic Atrial/physiopathology , Treatment OutcomeABSTRACT
We describe a case of a 34-year-old woman with atrial fibrillation induced by focal frequent tachycardias from superior vena cava and atypical atrioventricular nodal reentrant tachycardia. Selective isolation of SVC and slow pathway RF ablation cured all types of atrial arrhythmias. The slow pathway was localised in the postero-septal mitral anulus and ablated from the left atrium.
Subject(s)
Catheter Ablation , Electrophysiology , Tachycardia, Atrioventricular Nodal Reentry/surgery , Tachycardia, Paroxysmal/complications , Tachycardia, Paroxysmal/surgery , Vena Cava, Superior/physiopathology , Adult , Electrocardiography , Female , Humans , Tachycardia, Atrioventricular Nodal Reentry/diagnosis , Tachycardia, Atrioventricular Nodal Reentry/etiology , Tachycardia, Paroxysmal/diagnosis , Treatment OutcomeABSTRACT
On the basis of two cases of haemodialysed patients we present the usefulness of spiral computed tomography in the diagnosis of pseudoaneurysm as a complication of arteriovenous fistula for haemodialysis.