巨大共通幹をもつ肺静脈隔離後に肺静脈内マクロリエントリー性頻拍が証明された1例

眞木 高之; 里見 和浩; 高木 雅彦; 越田 俊也; 宮廻 英司; 山下 晋; 山口 雄大

doi:10.5105/jse.32.145

A Case of Macro-Reentrant Pulmonary Vein (PV) Tachycardia which was Proved after a Huge Left PV Common Trunk was Isolated

Takayuki Maki, Kazuhiro Satomi, Masahiko Takagi, Shunya Koshida, Eiji Miyazako, Susumu Yamashita, Takehiro Yamaguchi

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Keywords: Long-standing AF, Huge PV common trunk, Extensive ipsilateral encircling PV isolation, Reentrant PV tachycardia

JOURNAL FREE ACCESS

2012 Volume 32 Issue 2 Pages 145-151

DOI https://doi.org/10.5105/jse.32.145

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Abstract

A 57-year-old man had been diagnosed with long-standing atrial fibrillation and dilated cardiomyopathy. We tried PV isolation to improve his LV function. Left PV consisted of a huge common trunk. After left PV isolation was completed, regular tachycardia appeared in the left PV common trunk. We performed 3D mapping. Regular PV tachycardia (PVT) was circling around the scar area in PV. PVT was proved to be macro-reentrant tachycardia by an entrainment study.

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