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Macroreentrant atrial tachycardia with an isolated pathway mimicking focal activation on three-dimensional electroanatomical mapping
Authors:Akio Yano  Osamu Igawa  Masamitsu Adachi  Junichiro Miake  Yoshiaki Inoue  Kazuyoshi Ogura  Masaru Kato  Kazuhiko Iitsuka  Ichiro Hisatome
Affiliation:(1) Department of Cardiovascular Medicine, Tottori University Hospital, 36-1, Nishimachi, Yonago 683-8504, Japan;(2) Department of Genetic Medicine and Regenerative Therapeutics, Institute of Regenerative Medicine and Biofunction, Tottori University Graduate School of Medical Sciences, 36-1, Nishimachi, Yonago 683-8504, Japan
Abstract:A 76-year-old man with two different sustained atrial arrhythmias that occurred after coronary artery bypass grafting underwent electrophysiological studies. Macroreentrant atrial tachycardias were detected with an isolated slow pathway mimicking focal activation on three-dimensional electroanatomical mapping. The slow conduction pathway in the right atrial free wall was assumed to represent tissue damaged by right atrial cannulation during previous coronary artery bypass grafting.
Keywords:Atrial tachycardia  Electrophysiological study  Entrainment  Three-dimensional electroanatomical mapping
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