AUTHOR=Tao Yirao , Zhou Yang , Sun Xuerong , Liao Wenkai , Wang Yanjiang , Shi Liang , Liu Xingpeng 

TITLE=Pulsed field ablation of superior vena cava in paroxysmal atrial fibrillation: a case report

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=10

YEAR=2023

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2023.1211674

DOI=10.3389/fcvm.2023.1211674

ISSN=2297-055X

ABSTRACT=<p>Paroxysmal atrial fibrillation originates most commonly in the pulmonary veins. However, the superior vena cava has proved to be arrhythmogenic in some cases. Pulsed field ablation, an emerging ablation technology, selectively affects myocardial tissue. Herein, we present a case of paroxysmal atrial fibrillation in a 64-year-old man who was admitted to our hospital for pulsed field ablation. The tachycardia was recurrent despite four successful pulmonary vein isolations. The superior vena cava was determined to be involved in arrhythmogenesis. The atrial fibrillation terminated immediately after the pulsed field ablation discharge at the superior vena cava.</p>