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- Kazuki Mitarai, Hidekazu Kondo, Tetsuji Shinohara, Naoki Uchida, Tetsuro Wakabayashi, Kazuhiro Shinozaki, Hirofumi Zaizen, and Naohiko Takahashi.
- Department of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, Japan.
- Intern. Med. 2023 Jun 15; 62 (12): 178117841781-1784.
AbstractA 19-year-old man with pectus excavatum developed symptomatic persistent atrial fibrillation (AF). He had no remarkable medical history or comorbidities and had not exercised intensely during childhood. Electrical cardioversion and pre-treatment with amiodarone for two months failed to maintain sinus rhythm. Computed tomography before ablation revealed compression of the right and left atria between the sternal bone and vertebral bodies. Voltage mapping revealed that the right and left atrial voltages were preserved within the normal limit. However, radiofrequency catheter ablation successfully eliminated recurrent persistent AF. No recurrence was observed during eight months of follow-up.
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