Paroxysmal Atrial Fibrillation With Both Triggers and Rotational Drivers Within the Right Atrial Appendage

Marshall B. Marcus, MD; Jamie A. Shein, PA; Aditi S. Vaishnav, MBBS; Stavros E. Mountantonakis, MD

JACC: Case Reports (Dec 2019)

Paroxysmal Atrial Fibrillation With Both Triggers and Rotational Drivers Within the Right Atrial Appendage

Marshall B. Marcus, MD,
Jamie A. Shein, PA,
Aditi S. Vaishnav, MBBS,
Stavros E. Mountantonakis, MD

Affiliations

Marshall B. Marcus, MD: Department of Cardiology, Lenox Hill Hospital, New York, New York
Jamie A. Shein, PA: Department of Cardiology, Lenox Hill Hospital, New York, New York
Aditi S. Vaishnav, MBBS: Department of Cardiology, Lenox Hill Hospital, New York, New York
Stavros E. Mountantonakis, MD: Address for correspondence: Dr. Stavros Mountantonakis, Lenox Hill Hospital, 100 East 77th Street, 2 Lachman, New York, New York 10075.; Department of Cardiology, Lenox Hill Hospital, New York, New York

Journal volume & issue: Vol. 1, no. 4
pp. 607 – 611

Abstract

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A 48-year-old woman with paroxysmal atrial fibrillation (AF) underwent an electrophysiology study after 2 previous failed ablations. Noninvasive mapping suggested AF initiation from the right atrial appendage (RAA) with rotational drivers of AF in the RAA. Invasive mapping confirmed these findings. The patient was successfully treated with cryoballoon RAA isolation. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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