Open AccessSuccessful Catheter Ablation for Paroxysmal Atrial Fibrillation Originating from Superior Vena Cava in a Patient with Brugada Syndrome
Author(s) -
Kurotobi Toshiya,
Ito Hiroshi,
Iwakura Katsuomi,
Kawano Shigeo,
Okamura Atsunori,
Inoue Koichi,
Nagai Hiroyuki,
Fujii Kenshi
Publication year - 2005
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/s1880-4276(05)80007-9
Subject(s) - medicine , brugada syndrome , cardiology , ablation , catheter ablation , atrial fibrillation , paroxysmal atrial fibrillation , superior vena cava , superior vena cava syndrome , catheter , surgery
This case report describes the treatment of atrial fibrillation (AF) in a patient with Brugada syndrome. We found the triggers of AF in the superior vena cava during electrophysiological study and the isolation of superior vena cava with catheter ablation successfully eliminated the recurrence of AF. This case suggests that abnormal myocardial repolarization due to Na + ‐channel abnormality is not always the etiology of AF in patients with Brugada syndrome. In case of the focal trigger related to the initiation of AF, catheter ablation can be an effective therapeutic strategy.