The case of the successful treatment epicardial right atrium tachycardia with a help of transaortic access HTML

Authors: A.G. Filatov, Ya.B. Yakh’yaev, Z.F. Fatulaev, Sh.N. Sabirov, M.Ch. Kubova

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery of Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

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Heading: Case reports

UDC: 10.24022/1997-3187-2018-12-4-392-399
DOI: https://doi.org/10.24022/1997-3187-2018-12-4-392-399

For citation: Filatov A.G., Yakh’yaev Ya.B., Fatulaev Z.F., Sabirov Sh.N., Kubova M.Ch. The case of the successful treatment epicardial right atrium tachycardia with a help of transaortic access. Creative Cardiology. 2018; 12 (4): 392–99 (in Russ.). DOI: 10.24022/1997-3187-2018-12-4-392-399.

Received / Accepted:  14.11.2018/26.11.2018

Key Words: atrial tachycardia atrial fibrillation the superior vena cava radiofrequency catheter ablation

Abstract

The clinical case presents a rare observation of a 28-year-old female with uninterruptedly relapsing atrial fibrillation from the upper vena cava area. A radiofrequency isolation of the upper vena cava coupling was performed, as well as segmental ablation of ectopia with different cycle times from the vein itself. This disease can occur both in persons with concomitant pathology of the cardiovascular system (Coronary heart disease, hypertension, cardiomyopathy, etc.), and in individuals without a background pathology, that is, in practically healthy people. Atrial fibrillation is one of the most common forms of atrial tachycardia. Numerous clinical studies have shown that in the paroxysmal form of atrial fibrillation, arrhythmogenic activity starts from the region of the pulmonary veins, namely from the muscle sleeves that surround them. Similar muscle couplings exist in the area where the superior vena cava falls into the right atrium, therefore, they can also be arrhythmogenic sources. In the practice of the physician, atrial fibrillation from the superior vena cava is rare, so the main task of this article is to describe the case of atrial fibrillation from the upper vena cava coupling, and to explain the technique and results of radiofrequency catheter ablation of this type of arrhythmia.

References

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About Authors

  • Andrey G. Filatov, Dr. Med. Sc., Head of Laboratory, orcid.org/0000-0003-4557-844X;
  • Yakh’ya B. Yakh’yaev, Cardiovascular Surgeon, orcid.org/0000-0002-0871-4468;
  • Zamik F. Fatulaev, Cand. Med. Sc., Cardiovascular Surgeon, orcid.org/0000-0001-9279-0596;
  • Sherzod N. Sabirov, Junior Researcher, Cardiovascular Surgeon, orcid.org/0000-0003-4177-7740;
  • Maida Ch. Kubova, Cardiologist, orcid.org/0000-0002-3345-8910

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery