- Author:
Young Ah PARK
1
;
Jiwon SEO
;
Hui Nam PAK
Author Information
- Publication Type:Case Report
- Keywords: Atrial fibrillation; Catheter ablation; Balloon angioplasty
- MeSH: Angioplasty, Balloon; Atrial Fibrillation*; Catheter Ablation; Constriction, Pathologic; Humans; Pulmonary Veins*; Recurrence; Stents*; Veins
- From:Korean Circulation Journal 2017;47(4):528-531
- CountryRepublic of Korea
- Language:English
- Abstract: When there is no pulmonary vein reconnection after catheter ablation for atrial fibrillation, patients can experience recurrence of atrial fibrillation without clear evidence of non-pulmonary vein foci. We describe a patient with significant pulmonary vein stenosis and recurrent atrial fibrillation after four ablation procedures. After successful pulmonary vein stenting, the symptoms were resolved, and sinus rhythm was maintained for 2 years without treatment with antiarrhythmic medication. We believe pulmonary vein stenting potentially controlled atrial fibrillation by providing pulmonary vein pressure relief or by compressing the epicardial triggers occurring at the pulmonary vein ostium.