Journal of Cardiovascular Electrophysiology

Volume 18, Issue 12 pp. 1334-1337

Dual Tachycardias Associating Double-Exit Left Aortic Sinus Cusp Tachycardia with Paroxysmal Atrial Fibrillation: Evidence of a Link Between Both Arrhythmias by Means of the Autonomic Nervous System

AGUSTÍN BORTONE M.D.,

AGUSTÍN BORTONE M.D.

Electrophysiology and Pacing/Defibrillation Department, Clinique Pasteur, Toulouse, France

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NICOLAS COMBES M.D.,

NICOLAS COMBES M.D.

Electrophysiology and Pacing/Defibrillation Department, Clinique Pasteur, Toulouse, France

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SERGE BOVEDA M.D.,

SERGE BOVEDA M.D.

Electrophysiology and Pacing/Defibrillation Department, Clinique Pasteur, Toulouse, France

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JEAN-PAUL ALBENQUE M.D.,

JEAN-PAUL ALBENQUE M.D.

Electrophysiology and Pacing/Defibrillation Department, Clinique Pasteur, Toulouse, France

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AGUSTÍN BORTONE M.D.,

AGUSTÍN BORTONE M.D.

Electrophysiology and Pacing/Defibrillation Department, Clinique Pasteur, Toulouse, France

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NICOLAS COMBES M.D.,

NICOLAS COMBES M.D.

Electrophysiology and Pacing/Defibrillation Department, Clinique Pasteur, Toulouse, France

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SERGE BOVEDA M.D.,

SERGE BOVEDA M.D.

Electrophysiology and Pacing/Defibrillation Department, Clinique Pasteur, Toulouse, France

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JEAN-PAUL ALBENQUE M.D.,

JEAN-PAUL ALBENQUE M.D.

Electrophysiology and Pacing/Defibrillation Department, Clinique Pasteur, Toulouse, France

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First published: 25 October 2007

https://doi.org/10.1111/j.1540-8167.2007.00888.x

Address for correspondence: Jean-Paul Albenque, M.D., Electrophysiology and Pacing/Defibrillation Department, Clinique Pasteur, 43-45, avenue de Lombez, 31076 Toulouse, France. Fax: 33562211609; E-mail: [email protected]

Manuscript received 23 January 2007; Revised manuscript received 18 April 2007; Accepted for publication 23 April 2007.

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Abstract

Introduction: Dual tachycardias associating paroxysmal atrial fibrillation (AF) with double-exit left aortic sinus cusp tachycardia (LASCT) are described for the first time in a patient referred for AF ablation.

Case: Both tachycardias were successfully ablated under Carto-Merge® guidance. Noteworthy, vagal denervation during AF ablation was responsible for an immediate decrease in LASCT occurrence and inducibility.

Conclusion: This case highlights the critical role that the autonomic nervous system plays within the cardiac arrhythmia framework.

References

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Volume18, Issue12

December 2007

Pages 1334-1337

Dual Tachycardias Associating Double-Exit Left Aortic Sinus Cusp Tachycardia with Paroxysmal Atrial Fibrillation: Evidence of a Link Between Both Arrhythmias by Means of the Autonomic Nervous System

Abstract

References

References

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Dual Tachycardias Associating Double-Exit Left Aortic Sinus Cusp Tachycardia with Paroxysmal Atrial Fibrillation: Evidence of a Link Between Both Arrhythmias by Means of the Autonomic Nervous System

Abstract

References

References

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