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Kokubu Y, Watanabe T, Yamada T, Morita T, Kawasaki M, Kikuchi A, Kondo T, Kawai T, Nishimoto Y, Seo M, Nakamura J, Kayama K, Tamura Y, Fujita T, Chang Y, Tanichi M, Oshita T, Fukuda Y, Fukunami M. A Rare Case of a Common Inferior Pulmonary Vein Presumed to Be a Remnant of the Common Pulmonary Vein. Intern Med 2024; 63:407-411. [PMID: 37316270 PMCID: PMC10901698 DOI: 10.2169/internalmedicine.2005-23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Accepted: 05/08/2023] [Indexed: 06/16/2023] Open
Abstract
A 74-year-old woman with an implanted physiological DDD pacemaker visited our department complaining of palpitations due to atrial fibrillation (AF). Catheter ablation therapy for AF was scheduled. Preoperative multidetector computed tomography showed that the inferior pulmonary vein (PV) was a common trunk, and the left and right superior PVs branched from the center of the left atrial roof. In addition, mapping of the left atrium before AF ablation revealed no potential in either the inferior PV or common trunk. We performed left and right superior PV and posterior wall isolation. After ablation, AF was not observed on pacemaker recordings.
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Affiliation(s)
- Yuki Kokubu
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Tetsuya Watanabe
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Takahisa Yamada
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Takashi Morita
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Masato Kawasaki
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Atsushi Kikuchi
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Takumi Kondo
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Tsutomu Kawai
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Yuji Nishimoto
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Masahiro Seo
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Jun Nakamura
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Kiyomi Kayama
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Yuto Tamura
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Takeshi Fujita
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Yongchol Chang
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Masanao Tanichi
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Takuya Oshita
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Yuto Fukuda
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
| | - Masatake Fukunami
- Department of Cardiovascular Medicine, Hyogo Prefectural Nishinomiya Hospital, Japan
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