Single Ectopy-Triggering Ganglionated Plexus Ablation Without Pulmonary Vein Isolation Prevents Atrial Fibrillation

Abstract

A 58-year-old woman with drug-refractory symptoms of paroxysmal atrial fibrillation (AF) was referred for AF ablation. A single site of ganglionated plexus triggering pulmonary vein ectopy and AF was ablated, without pulmonary vein isolation. This procedure led to long-term freedom from AF. (Level of Difficulty: Advanced.)

Keywords

• atrial fibrillation
• atrial fibrillation ablation
• autonomic nervous system
• ganglionated plexus
• pulmonary vein ectopy