Pulmonary vein isolation in patients with paroxysmal atrial fibrillation after direct suture closure of congenital atrial septal defect
Open accessAbstract
Two cases of paroxysmal atrial fibrillation (AF) first occurred 15 and 36 years, respectively, after isolated direct suture closure of an atrial septal defect (ASD) and failed to be controlled by antiarrhythmic drug therapy. In these cases, an atrial transseptal procedure was feasible and no residual iatrogenic ASD was observed, even after multiple procedures. Pulmonary vein (PV) isolation was also feasible and safe and could eliminate the AF completely. PV isolation may become an alternative to antiarrhythmic drug therapy in patients with paroxysmal AF occurring late after an isolated direct suture closure of an ASD.
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Biatrial volume overload, pulmonary hypertension, and possibly the arrhythmogenic effect of atrial patches can contribute to atrial arrhythmias in atrial septal defects.
“Biatrial volume overload, 974 pulmonary hypertension, 975 and possibly the arrhythmogenic effect of atrial patches can contribute to these arrhythmias.976”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [974]
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Cites
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2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehw210 · Cited by 6,418 · see citing works
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- Authors
- Yamada, T., McElderry, H. T., Muto, M., Murakami, Y., & Kay, G. N.
- Affiliations
- University of Alabama at Birmingham (US)
- Aichi Prefectural Cardiovascular Respiratory Disease Center (JP)
- Venue
- Circulation Journal
- Publisher
- Japanese Circulation Society
- Published
- 2007
- Volume
- 71
- Issue
- 12
- Pages
- 1989-1992
- ISSN
- 1346-9843 (ISSN-L)
- 1347-4820
- OpenAlex
- W2048508932
- Cited by
- 16
- References
- 14
- Citations by year
- 2026: 1 · 2021: 1 · 2018: 2 · 2017: 1 · 2016: 3 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cardiovascular and Diving-Related Complications
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Keywords
- pulmonary vein isolation, paroxysmal atrial fibrillation, atrial septal defect, antiarrhythmic drug failure, catheter ablation
- MeSH terms
- Anti-Arrhythmia Agents, Atrial Fibrillation, Electrocardiography, Female, Heart Septal Defects, Atrial, Humans, Middle Aged, Pulmonary Veins, Cardiovascular Surgical Procedures, Suture Techniques, Catheter Ablation
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