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Europace Advance Access originally published online on February 20, 2009
Europace 2009 11(4):523-526; doi:10.1093/europace/eup039
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

SHORT COMMUNICATIONS

Escape rhythm from a partially disconnected pulmonary vein

Yoav Michowitz*, Aharon Glick and Bernard Belhassen

The Department of Cardiology, Tel Aviv Sourasky Medical Center and The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

We present a 34-year-old patient with recurrent episodes of drug refractory paroxysmal atrial fibrillation referred for pulmonary vein (PV) isolation at our institution. During isolation of the right superior PV, a dissociated escape rhythm was observed on a portion of the PV that was disconnected, while the rest of the PV showed clear left atrium to PV conduction. This report demonstrates the rare possibility of escape PV rhythm from only partially disconnected PV, highlighting that dissociated PV rhythm does not necessarily reflect complete PV isolation.

* Corresponding author. Tel: +972 3 6973311, Fax: +972 3 6973704, Email: ymichowitz{at}gmail.com

Manuscript submitted 24 November 2008. Accepted after revision 23 January 2009.


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