A Distinctive Strategy for Catheter Ablation in Patients With Bilateral Common Ostium in the Inferior Pulmonary Veins: A Case Report
ABSTRACT Pulmonary vein anatomical variations are frequently observed in atrial fibrillation patients undergoing catheter ablation. However, when it comes to patients with atrial fibrillation and bilateral common ostium in the inferior pulmonary veins, using a bilateral circumferential pulmonary vei...
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Wiley
2025-01-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70042 |
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| author | Zhaoyang Wei Linan Gong Zanzan Wang Zheng Zuo Zhiguo Zhang |
| author_facet | Zhaoyang Wei Linan Gong Zanzan Wang Zheng Zuo Zhiguo Zhang |
| author_sort | Zhaoyang Wei |
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| description | ABSTRACT Pulmonary vein anatomical variations are frequently observed in atrial fibrillation patients undergoing catheter ablation. However, when it comes to patients with atrial fibrillation and bilateral common ostium in the inferior pulmonary veins, using a bilateral circumferential pulmonary vein isolation approach during catheter ablation heightens the risk of esophageal injury. At present, there is no established standard catheter ablation strategy for such cases. A 47‐year‐old female with atrial fibrillation underwent catheter ablation. Prior to the procedure, a left atrial computed tomography angiography indicated a common ostium of the left and right inferior pulmonary veins. During mapping, a low‐voltage area was found in the patient's left atrial posterior wall. To avoid esophageal injury and effectively isolate both pulmonary veins and the low‐voltage area with minimal ablation points, we used a single‐ring ablation approach. In a 12 month follow‐up, the patient had no atrial fibrillation recurrence. |
| format | Article |
| id | doaj-art-14bf3aba75bf4ce0bd91b18cae8870a3 |
| institution | Kabale University |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
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| series | Clinical Case Reports |
| spelling | doaj-art-14bf3aba75bf4ce0bd91b18cae8870a32025-01-24T05:08:45ZengWileyClinical Case Reports2050-09042025-01-01131n/an/a10.1002/ccr3.70042A Distinctive Strategy for Catheter Ablation in Patients With Bilateral Common Ostium in the Inferior Pulmonary Veins: A Case ReportZhaoyang Wei0Linan Gong1Zanzan Wang2Zheng Zuo3Zhiguo Zhang4Department of Cardiology The First Hospital of Jilin University Changchun Jilin ChinaDepartment of Cardiology The First Hospital of Jilin University Changchun Jilin ChinaDepartment of Cardiology The First Hospital of Jilin University Changchun Jilin ChinaDepartment of Cardiology The First Hospital of Jilin University Changchun Jilin ChinaDepartment of Cardiology The First Hospital of Jilin University Changchun Jilin ChinaABSTRACT Pulmonary vein anatomical variations are frequently observed in atrial fibrillation patients undergoing catheter ablation. However, when it comes to patients with atrial fibrillation and bilateral common ostium in the inferior pulmonary veins, using a bilateral circumferential pulmonary vein isolation approach during catheter ablation heightens the risk of esophageal injury. At present, there is no established standard catheter ablation strategy for such cases. A 47‐year‐old female with atrial fibrillation underwent catheter ablation. Prior to the procedure, a left atrial computed tomography angiography indicated a common ostium of the left and right inferior pulmonary veins. During mapping, a low‐voltage area was found in the patient's left atrial posterior wall. To avoid esophageal injury and effectively isolate both pulmonary veins and the low‐voltage area with minimal ablation points, we used a single‐ring ablation approach. In a 12 month follow‐up, the patient had no atrial fibrillation recurrence.https://doi.org/10.1002/ccr3.70042atrial fibrillationcase reportcatheter ablationcommon ostium |
| spellingShingle | Zhaoyang Wei Linan Gong Zanzan Wang Zheng Zuo Zhiguo Zhang A Distinctive Strategy for Catheter Ablation in Patients With Bilateral Common Ostium in the Inferior Pulmonary Veins: A Case Report Clinical Case Reports atrial fibrillation case report catheter ablation common ostium |
| title | A Distinctive Strategy for Catheter Ablation in Patients With Bilateral Common Ostium in the Inferior Pulmonary Veins: A Case Report |
| title_full | A Distinctive Strategy for Catheter Ablation in Patients With Bilateral Common Ostium in the Inferior Pulmonary Veins: A Case Report |
| title_fullStr | A Distinctive Strategy for Catheter Ablation in Patients With Bilateral Common Ostium in the Inferior Pulmonary Veins: A Case Report |
| title_full_unstemmed | A Distinctive Strategy for Catheter Ablation in Patients With Bilateral Common Ostium in the Inferior Pulmonary Veins: A Case Report |
| title_short | A Distinctive Strategy for Catheter Ablation in Patients With Bilateral Common Ostium in the Inferior Pulmonary Veins: A Case Report |
| title_sort | distinctive strategy for catheter ablation in patients with bilateral common ostium in the inferior pulmonary veins a case report |
| topic | atrial fibrillation case report catheter ablation common ostium |
| url | https://doi.org/10.1002/ccr3.70042 |
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