Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Controlled Atrial Fibrillation after Pulmonary Vein Stenting

  • Park, Young-Ah (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Seo, Jiwon (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Pak, Hui-Nam (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine)
  • Received : 2016.10.31
  • Accepted : 2016.12.13
  • Published : 2017.07.31
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Abstract

When there is no pulmonary vein reconnection after catheter ablation for atrial fibrillation, patients can experience recurrence of atrial fibrillation without clear evidence of non-pulmonary vein foci. We describe a patient with significant pulmonary vein stenosis and recurrent atrial fibrillation after four ablation procedures. After successful pulmonary vein stenting, the symptoms were resolved, and sinus rhythm was maintained for 2 years without treatment with antiarrhythmic medication. We believe pulmonary vein stenting potentially controlled atrial fibrillation by providing pulmonary vein pressure relief or by compressing the epicardial triggers occurring at the pulmonary vein ostium.

Keywords

Acknowledgement

Supported by : Ministry of Health

References

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Cited by

  1. 2018 Korean Guidelines for Catheter Ablation of Atrial Fibrillation: Part III vol.19, pp.3, 2017, https://doi.org/10.18501/arrhythmia.2018.013