1. [Untitled]
- Author
-
Kazuhiko Okamoto, Yoshikazu Kaji, Fumiaki Kuma, Norihiro Ueda, Akihiro Koike, Toru Maruyama, Eimei Shimoike, Hiroyuki Ito, and Takehiko Fujino
- Subjects
Constrictive pericarditis ,Tachycardia ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,medicine.medical_treatment ,Catheter ablation ,Reentry ,medicine.disease ,Radiofrequency catheter ablation ,Superior vena cava ,Physiology (medical) ,Internal medicine ,cardiovascular system ,medicine ,Cardiology ,cardiovascular diseases ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Electrocardiography ,Atrial tachycardia - Abstract
A 52-years old man with a previous pericardiotomy for idiopathic constrictive pericarditis underwent catheter ablation for drug-resistant atrial tachycardia (AT). The mechanism of the AT was considered as reentry because of resetting response and the entrainment phenomenon during AT. We introduced a 64-electrode basket catheter into the superior vena cava (SVC) during AT to obtain precise mapping. A fractionated potential preceding local atrial electrogram was recorded in the SVC. The earliest activation site of the potential was located at the anterior aspect of the SVC, 2 cm above the SVC-right atrium junction determined fluoroscopically. The fractionated potential at this site preceded the onset of the P wave by 115 msec. Radiofrequency catheter ablation at this site eliminated the tachycardia. At 6 months follow-up, the patient is free of AT. Reentrant AT involving the SVC is a candidate of RF ablation. Multielectrode basket catheter is useful for a detailed mapping of the SVC.
- Published
- 2003