scholarly journals Anomalous Hepatic Venous Drainage into the Left Atrium and Inferior Vena Cava

2010 ◽  
Vol 33 (6) ◽  
pp. E121-E121
Author(s):  
Bong Gun Song ◽  
Sung-Ji Park ◽  
Jeong Rang Park ◽  
Seung Woo Park ◽  
Yeon Hyeon Choi ◽  
...  
2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Masatoshi Narikawa ◽  
Masayoshi Kiyokuni ◽  
Junya Hosoda ◽  
Toshiyuki Ishikawa

Abstract Background Transseptal puncture and pulmonary vein isolation (PVI) in patients with atrial fibrillation (AF) are generally performed via the inferior vena cava (IVC). However, in cases where the IVC is inaccessible, a specific strategy may be needed. Case summary An 86-year-old woman with paroxysmal AF and an IVC filter in situ was referred to our hospital for ablation therapy. An IVC filter for pulmonary embolism and deep venous thrombosis had been implanted 15 years prior, therefore we selected a transoesophageal echocardiography (TOE)-guided transseptal puncture using a superior vena cava (SVC) approach. After the single transseptal puncture, we performed fast anatomical mapping, voltage mapping by multipolar mapping catheter, and then PVI by contact force-guided radiofrequency catheter using a steerable sheath. Following the ablation, bidirectional conduction block between the four pulmonary veins and the left atrium was confirmed by both radiofrequency and mapping catheter. No complications occurred and no recurrence of AF was documented in the 12 months after the procedure. Discussion When performing a transseptal puncture during AF ablation, an SVC approach, via access through the right internal jugular vein, enables the sheath to directly approach the left atrium without angulation and improves operability of the ablation catheter. Combining the use of general anaesthesia, TOE, a steerable sheath, and contact force-guided ablation may contribute to achieving minimally invasive PVI with a single transseptal puncture via an SVC approach.


1967 ◽  
Vol 7 (7) ◽  
pp. 305-312 ◽  
Author(s):  
Yoshimasa Miyauchi ◽  
Ronald E. Fraser ◽  
Bruce C. Paton

1962 ◽  
Vol 57 (4) ◽  
pp. 301-310 ◽  
Author(s):  
O. Fiandra ◽  
A. Barcia ◽  
R. Cortes ◽  
J. Stanham

2010 ◽  
Vol 31 (6) ◽  
pp. 912-914 ◽  
Author(s):  
Iyad AL-Ammouri ◽  
William Shomali ◽  
Moaath M. Alsmady ◽  
Mahmoud Abu Abeeleh ◽  
Khader Mustafa ◽  
...  

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