Pulmonary vein thrombi in a patient with paroxysmal atrial fibrillation
نویسنده
چکیده
Atrial fibrillation is a serious clinical problem, which is associated with systemic thrombosis such as cerebral infarction. Pulmonary vein myocardiumpromotes andmaintains atrial fibrillation. Catheter ablation is done to cure atrial fibrillation to cut down the current flow from pulmonary vein myocardium. Although pulmonary vein thrombi (PVT) are thought to be a rare complication of certain tumors of the lung [1], lobectomy, bilobectomy, lung transplantation [2] or radiofrequency ablation for atrial fibrillation [3], I have reported several cases in patients without such conditions, which represent that PVT are not rare in patients without such conditions [4,5]. Recently, I have reported 61% of 57 elderly patients with chest pain [6], indicating PVT may be common in elderly patients with chest pain. I have reported them using 64-slice multidetector CT (64-MDCT), indicating 64-MDCT is a useful tool to diagnose PVT. Presently, the relationship between PVT and atrial fibrillation remains unknown. In this paper, I show a patientwith paroxysmal atrial fibrillation (PAF) that had PVT, for the first time.
منابع مشابه
Innappropriate Sinus Tachycardia After Superior Vena Cava Isolation In Addition To Pulmonary Veins Isolatin Of Paroxysmal Atrial Fibrillation Cryoballoon Ablation.
We report a case of persistent inappropriate sinus tachycardia (IST) after pulmonary vein and superior vena cava (SVC) isolation with cryoballoon ablation for paroxysmal atrial fibrillation (PAF). After the cryoballoon ablation (CBA) procedure, the patient presented with sinus tachycardia of 105 beats/minute. The patient was successfully treated with metoprolol and ivabradine therapy.
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