Radiofrequency circumferential ablation limited to the left atrium showing fibrillatory activity in a patient with paroxysmal atrial fibrillation.
We report a case of a tailored approach to atrial fibrillation based on the substrate. In a patient with paroxysmal atrial fibrillation, electroanatomic mapping showed that atrial fibrillation was limited to a large area around the ostia of right pulmonary veins. The patient was successfully treated by catheter anatomic isolation of this area from the remaining part of the left atrium.
Stabile
Giuseppe
G
Laboratorio di Elettrofisiologia Casa di Cura San Michele, Maddaloni (CE), Italy. gmrstabile@tin.it
Turco
Pietro
P
La Rocca
Vincenzo
V
Iuliano
Assunta
A
De Simone
Antonio
A
D001281:Atrial Fibrillation / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods; D004562:Electrocardiography / Q000379:methods; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D016896:Treatment Outcome