Journal of Arrhythmia
Online ISSN : 1883-2148
Print ISSN : 1880-4276
Case Reports
Successful Catheter Ablation for Paroxysmal Atrial Fibrillation Originating from Superior Vena Cava in a Patient with Brugada Syndrome
Toshiya KurotobiHiroshi ItoKatsuomi IwakuraShigeo KawanoAtsunori OkamuraKoichi InoueHiroyuki NagaiKenshi Fujii
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2005 年 21 巻 4 号 p. 470-474

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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.
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© 2005 Japanese Heart Rhythm Society
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