Electrical disconnection of an arrhythmogenic superior vena cava with discrete radiofrequency current lesions guided by noncontact mapping

Pacing Clin Electrophysiol. 2003 Aug;26(8):1758-61. doi: 10.1046/j.1460-9592.2003.t01-1-00263.x.

Abstract

This case describes a 54-year-old patient with paroxysmal atrial fibrillation and atrial flutter. Conventionally recorded local electrogram demonstrated a cycle length of 245 ms in the SVC which was conducted to the right atrium in a 2:1 fashion. The analysis of the virtual unipolar local electrogram from the noncontact mapping system demonstrated slow conduction between SVC and right atrium orthogonal to the atrial breakthrough in the upper part of the crista terminalis. RF ablation at the atrial breakthrough induced the electrical disconnection between the CVC and the right atrium.

Publication types

  • Case Reports

MeSH terms

  • Atrial Fibrillation / physiopathology
  • Atrial Fibrillation / surgery*
  • Atrial Flutter / physiopathology
  • Atrial Flutter / surgery*
  • Body Surface Potential Mapping*
  • Catheter Ablation / methods*
  • Humans
  • Male
  • Middle Aged
  • Vena Cava, Superior / physiopathology*
  • Vena Cava, Superior / surgery*