Pulmonary vein isolation in patients with paroxysmal atrial fibrillation after direct suture closure of congenital atrial septal defect

Takumi Yamada, Hugh T. McElderry, Masahiro Muto, Yoshimasa Murakami, G. Neal Kay

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1989-1992
Number of pages4
JournalCirculation Journal
Volume71
Issue number12
DOIs
StatePublished - 2007

Keywords

  • Atrial fibrillation
  • Atrial septal defect
  • Pulmonary vein isolation
  • Radiofrequency catheter ablation

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