open access

Vol 67, No 10 (2009)
Other
Published online: 2009-10-29
Submitted: 2012-12-28
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Invasive electrophysiology
Sixty four-slice computed tomography unmasked unexpected source of atrial arrythmias – a case report

Paweł Derejko, Grzegorz Warmiński, Paweł Kwiatek, Ilona Michałowska, Ewa Szufladowicz, Łukasz Szumowski, Franciszek Walczak
Kardiol Pol 2009;67(10):1147-1150.

open access

Vol 67, No 10 (2009)
Other
Published online: 2009-10-29
Submitted: 2012-12-28

Abstract

We describe a 23-year-old man with drug refractory, left atrial arrhythmias (paroxysmal atrial tachycardia, runs, pairs and single extra beats) in the area of remnant of left upper pulmonary vein ostium (in fact, this vein). The superior drained into vena innominata/vena cava superior. The patient underwent three unsuccessful catheter ablations in another center. Computed tomography scan of left atrium and pulmonary veins revealed this rare congenital anomaly. This information was crucial to perform successful ablation in the area of remnant and distinguish left atrial appendage from the remnant area. During 6 month follow-up the patient remained free of arrhythmia.

Abstract

We describe a 23-year-old man with drug refractory, left atrial arrhythmias (paroxysmal atrial tachycardia, runs, pairs and single extra beats) in the area of remnant of left upper pulmonary vein ostium (in fact, this vein). The superior drained into vena innominata/vena cava superior. The patient underwent three unsuccessful catheter ablations in another center. Computed tomography scan of left atrium and pulmonary veins revealed this rare congenital anomaly. This information was crucial to perform successful ablation in the area of remnant and distinguish left atrial appendage from the remnant area. During 6 month follow-up the patient remained free of arrhythmia.
Get Citation

Keywords

family of atrial arrhythmias; left PV anomaly; CT scan; RF-ablation

About this article
Title

Invasive electrophysiology
Sixty four-slice computed tomography unmasked unexpected source of atrial arrythmias – a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 67, No 10 (2009)

Pages

1147-1150

Published online

2009-10-29

Bibliographic record

Kardiol Pol 2009;67(10):1147-1150.

Keywords

family of atrial arrhythmias
left PV anomaly
CT scan
RF-ablation

Authors

Paweł Derejko
Grzegorz Warmiński
Paweł Kwiatek
Ilona Michałowska
Ewa Szufladowicz
Łukasz Szumowski
Franciszek Walczak

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