Key result
Radiofrequency ablation at the left superior pulmonary vein-atrial junction induced a stepwise parasympathetic response including sinus arrest and AV block before being abolished.
Population
1 61-year-old man with vagal-induced atrial fibrillation
Design
Case_report
Authors
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Supports superior left ganglionated plexus as autonomic modulator during ablation; leaves open targeted neuromodulation as therapeutic strategy.
Case Report (n=1)
No
Clinical observation during ablation supports experimental evidence that the superior left ganglionated plexus functions as an integration center modulating sinoatrial and AV node control.
Meyer et al. (2010) conducted a case report in Vagal-induced atrial fibrillation (n=1). Radiofrequency ablation at the left superior pulmonary vein-atrial junction was evaluated. Radiofrequency ablation at the left superior pulmonary vein-atrial junction induced a stepwise parasympathetic response including sinus arrest and AV block before being abolished.
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