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. 2018 Jan 5;2(1):ytx020. doi: 10.1093/ehjcr/ytx020

Table 1.

Baseline characteristics of the six patients included in this case series

Patient Age Type of atrial fibrillation Relevant comorbidities Pre-procedural ECG Pre-procedural echocardiogram Medication prior to and after procedure Procedure Results of CT scan (retrospectively assessed)
1 74 Paroxysmal ASD (ostium secundum) SR, 55 b.p.m., borderline 1st degree AV block Mild RV dysfunction, ASD, no other significant abnormalities

  • PRE: Bisoprolol 1.25 o.d. and Flecainide 50 mg b.i.d.

  • POST: Same

 PVI Post-procedure. SNA not visualized.
2 66 Paroxysmal Hypertension, typical atrial flutter SR, 58 b.p.m., normal No significant abnormalities

  • PRE: Bisoprolol 2.5 mg o.d. and Flecainide as needed

  • POST: Same

 PVI plus CTI line Pre-procedure. Right-sided SNA arising from the RCA and coursing along the high anterior left atrium close to the ostium of the RSPV
3 78 Paroxysmal Hypertension, previous pulmonary embolism SR, 60 b.p.m., normal No significant abnormalities

  • PRE: Bisoprolol 5 mg o.d.

  • POST: Same

 PVI Pre-procedure. Left-sided SNA arising from the Circumflex artery running along the high anterior left atrium in close proximity to the ostia of the left and right superior PVs
4 80 Paroxysmal Hypertension SR, 51 b.p.m., borderline 1st degree AV block No significant abnormalities

  • PRE: Sotalol 40 mg b.i.d.

  • POST: Same

 PVI Pre-procedure. Left-sided SNA arising from the Left Main artery/proximal Circumflex artery and running along the high anterior left atrium in close proximity to the ostia of the left and right superior PVs
5 68 Paroxysmal Hypertension, previous AF ablation SR, 55 b.p.m., normal No significant abnormalities

  • PRE: Sotalol 120 mg b.i.d.

  • POST: Same

 Re-isolation of right-sided PVs and LIPV Pre-procedure. Low quality examination as patient was in AF at ∼150 b.p.m. SNA not visualized.
6 50 Paroxysmal None SR, 50 b.p.m., normal No significant abnormalities

  • PRE: Bisoprolol 2.5 mg o.d.

  • POST: Bisoprolol 2.5 mg o.d. and Flecainide 50 mg b.i.d.

 PVI with the cryoballoon Pre-procedure. Left-sided SNA arising from the Circumflex artery running along the high anterior left atrium in close proximity to the ostia of the left and right superior PVs

AF, atrial fibrillation; ASD, atrial septal defect; AV, atrioventricular; CTI, cavotricuspid isthmus; LIPV, left inferior pulmonary vein; PV, pulmonary vein; PVI, pulmonary vein isolation; RCA, right coronary artery; RSPV, right superior pulmonary vein; RV, right ventricular; SNA, sinus node artery; SR, sinus rhythm.