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Europace Advance Access originally published online on March 16, 2007
Europace 2007 9(5):302-304; doi:10.1093/europace/eum024
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

ATRIAL TACHYARRHYTHMIA

Bidirectional superior vena cava: right atrial conduction delay during tachycardia

Andrew S. Thornton*, Maximo Rivero-Ayerza, Joris M. Mekel and Luc Jordaens

Department of Clinical Electrophysiology, Room Bd416, Thoraxcentre, Erasmus MC, Dr. Molewaterplein 40, Rotterdam 3015 GD, The Netherlands

The superior vena cava, like all the thoracic veins, has myocardial sleeves and plays a role in initiation and perpetuation of atrial fibrillation. Conduction delay between it and the right atrium has been shown previously. This case study shows delay in both directions during different arrhythmias in the same patient.

Key Words: Arrhythmia, Magnetic navigation, Superior vena cava, Atrial tachycardia

* Corresponding author. Tel: +31 10 4633991; fax: +31 10 4634420. E-mail address: a.thornton{at}erasmusmc.nl

Manuscript submitted 26 December 2006. Accepted after revision 26 January 2007.


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