Coexistence of Left-Sided Atrioventricular Accessory Pathways With a Common Inferior Pulmonary Vein Ostium
| العنوان: | Coexistence of Left-Sided Atrioventricular Accessory Pathways With a Common Inferior Pulmonary Vein Ostium |
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| المؤلفون: | Mitsuaki Isobe, Yutaka Matsumura, Tsunehiro Yamato, Kenzo Hirao, Junichi Nitta, Akira Sato, Kihiro Asakawa, Kazuyasu Takei, Shinsuke Iwai, Mitsutoshi Asano, Kensuke Ihara, Kenichi Muramatsu, Miki Kanoh |
| المصدر: | Circulation: Arrhythmia and Electrophysiology. 4:310-317 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2011. |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | Male, Tachycardia, Bundle of His, medicine.medical_specialty, Gauche effect, Accessory pathway, Pulmonary vein, Physiology (medical), Internal medicine, Atrial Fibrillation, medicine, Humans, cardiovascular diseases, Tachycardia, Paroxysmal, Retrospective Studies, business.industry, Atrial fibrillation, Middle Aged, medicine.disease, Surgery, Ostium, Treatment Outcome, Pulmonary Veins, Catheter Ablation, cardiovascular system, Cardiology, Female, medicine.symptom, Electrophysiologic Techniques, Cardiac, Cardiology and Cardiovascular Medicine, business, Tomography, Spiral Computed, Left Pulmonary Vein, Atrial flutter, Follow-Up Studies |
| الوصف: | Background— As the technique for radiofrequency catheter ablation for atrial fibrillation (AF) has progressed, so has our knowledge of both normal and abnormal anatomy of the left atrium and pulmonary veins (PV). We treated several AF patients with accessory conduction pathways (ACP) who were also found to have a common ostium of inferior PVs (CIPV), a relatively rare PV anomaly. No relation between ACP and PV anomalies has ever been reported, and the aim of our study was to study this association. Methods and Results— This study included 137 consecutive patients (104 men; mean age, 60±9 years) who underwent AF ablation for paroxysmal and persistent AF at our institution from March 2009 to August 2010. We analyzed coexisting supraventricular tachycardias and left atrium and PV morphology by multidetector row CT. Thirty-eight of 137 patients (27.7%) were found to have some PV anomaly, consisting of 13 with a common trunk of left PV, 19 with right additional PV, 3 with a common trunk of right PV, and 3 with CIPV. Thirty-one patients (22.6%) had supraventricular tachycardias. They were 26 cases of atrial flutter, 4 of Wolff-Parkinson-White syndrome, and 3 of atrioventricular nodal reentrant tachycardia. The prevalence of a coexisting ACP was significantly higher in patients with CIPV than in those without CIPV (3 of 3 [100%] versus 1 in 134 [0.7%]; P Conclusions— There is a possible association between CIPV and left-sided ACP in AF patients. This suggests that there is a likelihood of developmental association between them. |
| تدمد: | 1941-3084 1941-3149 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bc98fc65cad2ce0df241a2dcd437c8d6 https://doi.org/10.1161/circep.110.960815 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....bc98fc65cad2ce0df241a2dcd437c8d6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19413084 19413149 |
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