A case of persistent atrial fibrillation cured by focal ablation in a young patient.
We present a case of a 25-year-old man who had persistent atrial fibrillation (AF) lasting for three months. The persistent AF was terminated by a 20-mg bolus infusion of adenosine triphosphate. Frequent and repetitive episodes of ectopic atrial tachycardia (EAT) emerged from the mid-portion of the saddle between the left superior and inferior pulmonary veins. The successful ablation was achieved by a focal ablation at the site with the earliest activation preceding the P-wave onset by 42 ms, and exhibited a QS pattern in the unipolar recording. This is rare case in which focal ablation could cure persistent AF.
Nakahara
Shiro
S
Department of Cardiology, Dokkyo University Koshigaya Hospital, Saitama, Japan. nshiro@dokkyomed.ac.jp
Takayanagi
Kan
K
Iesaka
Yoshito
Y
D000328:Adult; D001281:Atrial Fibrillation / Q000175:diagnosis* / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods*; D002908:Chronic Disease; D006329:Heart Conduction System / Q000601:surgery*; D006801:Humans; D008297:Male; D016896:Treatment Outcome