A case of atrial tachycardia originating from the left atrial roof successfully ablated via the pulmonary artery approach

Author:

Liu Wenwu12ORCID,Zhang Qitong1,Wu Xiaoyu1,Gao Longzhe1,Wei Yong1,Liu Shaowen1ORCID,Zhou Genqing1ORCID

Affiliation:

1. Department of Cardiology, Shanghai General Hospital Shanghai Jiao Tong University School of Medicine Shanghai China

2. Department of Cardiology Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine Jiangsu China

Abstract

AbstractA 60‐year‐old male patient suffered from frequent episodes of atrial tachycardia (AT), after the index procedure of catheter ablation for paroxysmal atrial fibrillation. During the repeat procedure, the activation map showed that the earliest activation site was located at the roof of left atrium. Multiple ablations at the earliest activation site on the roof failed to terminate the AT; however, ablation within the pulmonary artery at an adjacent anatomical site successfully eliminated the AT, even without recording distinct near‐field potential.

Publisher

Wiley

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