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

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 o...

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Main Authors: Min-Young Kim, MBChB, Phang Boon Lim, MBBS, PhD, Clare Coyle, MBChB, Belinda Sandler, MBBS, Michael Koa-Wing, PhD, MBBS, Prapa Kanagaratnam, PhD, MBBS
Format: Article
Language:English
Published: Elsevier 2020-10-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084920310548
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spelling doaj-e387c47dab9544a2931de1d846a315392021-06-07T06:57:18ZengElsevierJACC: Case Reports2666-08492020-10-0121220042009Single Ectopy-Triggering Ganglionated Plexus Ablation Without Pulmonary Vein Isolation Prevents Atrial FibrillationMin-Young Kim, MBChB0Phang Boon Lim, MBBS, PhD1Clare Coyle, MBChB2Belinda Sandler, MBBS3Michael Koa-Wing, PhD, MBBS4Prapa Kanagaratnam, PhD, MBBS5Myocardial Function Section, Imperial Centre for Translational and Experimental Medicine, Imperial College London, London, United Kingdom; Department of Cardiology, Imperial College Healthcare NHS Trust, London, United Kingdom; Imperial Centre for Cardiac Engineering, Imperial College London, London, United KingdomDepartment of Cardiology, Imperial College Healthcare NHS Trust, London, United Kingdom; Imperial Centre for Cardiac Engineering, Imperial College London, London, United KingdomMyocardial Function Section, Imperial Centre for Translational and Experimental Medicine, Imperial College London, London, United Kingdom; Department of Cardiology, Imperial College Healthcare NHS Trust, London, United Kingdom; Imperial Centre for Cardiac Engineering, Imperial College London, London, United KingdomMyocardial Function Section, Imperial Centre for Translational and Experimental Medicine, Imperial College London, London, United Kingdom; Department of Cardiology, Imperial College Healthcare NHS Trust, London, United Kingdom; Imperial Centre for Cardiac Engineering, Imperial College London, London, United KingdomDepartment of Cardiology, Imperial College Healthcare NHS Trust, London, United Kingdom; Imperial Centre for Cardiac Engineering, Imperial College London, London, United KingdomDepartment of Cardiology, Imperial College Healthcare NHS Trust, London, United Kingdom; Imperial Centre for Cardiac Engineering, Imperial College London, London, United Kingdom; Address for correspondence: Prof. Prapa Kanagaratnam, Cardiology Department St Mary’s Hospital, Praed Street, London W2 1NY, United Kingdom.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.)http://www.sciencedirect.com/science/article/pii/S2666084920310548atrial fibrillationatrial fibrillation ablationautonomic nervous systemganglionated plexuspulmonary vein ectopy
collection DOAJ
language English
format Article
sources DOAJ
author Min-Young Kim, MBChB
Phang Boon Lim, MBBS, PhD
Clare Coyle, MBChB
Belinda Sandler, MBBS
Michael Koa-Wing, PhD, MBBS
Prapa Kanagaratnam, PhD, MBBS
spellingShingle Min-Young Kim, MBChB
Phang Boon Lim, MBBS, PhD
Clare Coyle, MBChB
Belinda Sandler, MBBS
Michael Koa-Wing, PhD, MBBS
Prapa Kanagaratnam, PhD, MBBS
Single Ectopy-Triggering Ganglionated Plexus Ablation Without Pulmonary Vein Isolation Prevents Atrial Fibrillation
JACC: Case Reports
atrial fibrillation
atrial fibrillation ablation
autonomic nervous system
ganglionated plexus
pulmonary vein ectopy
author_facet Min-Young Kim, MBChB
Phang Boon Lim, MBBS, PhD
Clare Coyle, MBChB
Belinda Sandler, MBBS
Michael Koa-Wing, PhD, MBBS
Prapa Kanagaratnam, PhD, MBBS
author_sort Min-Young Kim, MBChB
title Single Ectopy-Triggering Ganglionated Plexus Ablation Without Pulmonary Vein Isolation Prevents Atrial Fibrillation
title_short Single Ectopy-Triggering Ganglionated Plexus Ablation Without Pulmonary Vein Isolation Prevents Atrial Fibrillation
title_full Single Ectopy-Triggering Ganglionated Plexus Ablation Without Pulmonary Vein Isolation Prevents Atrial Fibrillation
title_fullStr Single Ectopy-Triggering Ganglionated Plexus Ablation Without Pulmonary Vein Isolation Prevents Atrial Fibrillation
title_full_unstemmed Single Ectopy-Triggering Ganglionated Plexus Ablation Without Pulmonary Vein Isolation Prevents Atrial Fibrillation
title_sort single ectopy-triggering ganglionated plexus ablation without pulmonary vein isolation prevents atrial fibrillation
publisher Elsevier
series JACC: Case Reports
issn 2666-0849
publishDate 2020-10-01
description 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.)
topic atrial fibrillation
atrial fibrillation ablation
autonomic nervous system
ganglionated plexus
pulmonary vein ectopy
url http://www.sciencedirect.com/science/article/pii/S2666084920310548
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