Bronchogenic cyst causing atrial fibrillation by impinging the right inferior pulmonary vein

Joseph G. Parambil, Bernard J. Gersh, Mirna Z. Knight, Michael Joseph Krowka, Jay H Ryu

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Atrial fibrillation is the most common sustained cardiac arrhythmia and is usually associated with underlying structural heart disease, but may also occur in isolation-the entity of "lone" atrial fibrillation. Recently, attention has been directed to the pulmonary veins as a source of the arrhythmia through identification of rapidly firing ectopic foci within the covering myocardial sleeves. We describe a 38-year-old man who presented with treatment-resistant atrial fibrillation and a posterior mediastinal mass. Electrophysiological studies demonstrated abnormal foci of electrical activity at the entrance of the right inferior pulmonary vein into the left atrium. Surgical exploration revealed a bronchogenic cyst that distorted and stretched the right inferior pulmonary vein as it traversed the posterior mediastinum towards the left atrium. Restoration of sinus rhythm without recurrence of atrial fibrillation characterized the clinical course after surgical resection of the mass. This case demonstrates that a retro-cardiac bronchogenic cyst can cause atrial fibrillation by impinging on a pulmonary vein.

Original languageEnglish (US)
Pages (from-to)336-338
Number of pages3
JournalAmerican Journal of the Medical Sciences
Volume331
Issue number6
DOIs
StatePublished - Jun 2006

Fingerprint

Bronchogenic Cyst
Pulmonary Veins
Atrial Fibrillation
Heart Atria
Cardiac Arrhythmias
Mediastinum
Heart Diseases
Recurrence

Keywords

  • Atrial fibrillation
  • Bronchogenic cyst
  • Pulmonary vein

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Bronchogenic cyst causing atrial fibrillation by impinging the right inferior pulmonary vein. / Parambil, Joseph G.; Gersh, Bernard J.; Knight, Mirna Z.; Krowka, Michael Joseph; Ryu, Jay H.

In: American Journal of the Medical Sciences, Vol. 331, No. 6, 06.2006, p. 336-338.

Research output: Contribution to journalArticle

@article{04da95ab19854e688c279c03da0384bd,
title = "Bronchogenic cyst causing atrial fibrillation by impinging the right inferior pulmonary vein",
abstract = "Atrial fibrillation is the most common sustained cardiac arrhythmia and is usually associated with underlying structural heart disease, but may also occur in isolation-the entity of {"}lone{"} atrial fibrillation. Recently, attention has been directed to the pulmonary veins as a source of the arrhythmia through identification of rapidly firing ectopic foci within the covering myocardial sleeves. We describe a 38-year-old man who presented with treatment-resistant atrial fibrillation and a posterior mediastinal mass. Electrophysiological studies demonstrated abnormal foci of electrical activity at the entrance of the right inferior pulmonary vein into the left atrium. Surgical exploration revealed a bronchogenic cyst that distorted and stretched the right inferior pulmonary vein as it traversed the posterior mediastinum towards the left atrium. Restoration of sinus rhythm without recurrence of atrial fibrillation characterized the clinical course after surgical resection of the mass. This case demonstrates that a retro-cardiac bronchogenic cyst can cause atrial fibrillation by impinging on a pulmonary vein.",
keywords = "Atrial fibrillation, Bronchogenic cyst, Pulmonary vein",
author = "Parambil, {Joseph G.} and Gersh, {Bernard J.} and Knight, {Mirna Z.} and Krowka, {Michael Joseph} and Ryu, {Jay H}",
year = "2006",
month = "6",
doi = "10.1097/00000441-200606000-00010",
language = "English (US)",
volume = "331",
pages = "336--338",
journal = "American Journal of the Medical Sciences",
issn = "0002-9629",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Bronchogenic cyst causing atrial fibrillation by impinging the right inferior pulmonary vein

AU - Parambil, Joseph G.

AU - Gersh, Bernard J.

AU - Knight, Mirna Z.

AU - Krowka, Michael Joseph

AU - Ryu, Jay H

PY - 2006/6

Y1 - 2006/6

N2 - Atrial fibrillation is the most common sustained cardiac arrhythmia and is usually associated with underlying structural heart disease, but may also occur in isolation-the entity of "lone" atrial fibrillation. Recently, attention has been directed to the pulmonary veins as a source of the arrhythmia through identification of rapidly firing ectopic foci within the covering myocardial sleeves. We describe a 38-year-old man who presented with treatment-resistant atrial fibrillation and a posterior mediastinal mass. Electrophysiological studies demonstrated abnormal foci of electrical activity at the entrance of the right inferior pulmonary vein into the left atrium. Surgical exploration revealed a bronchogenic cyst that distorted and stretched the right inferior pulmonary vein as it traversed the posterior mediastinum towards the left atrium. Restoration of sinus rhythm without recurrence of atrial fibrillation characterized the clinical course after surgical resection of the mass. This case demonstrates that a retro-cardiac bronchogenic cyst can cause atrial fibrillation by impinging on a pulmonary vein.

AB - Atrial fibrillation is the most common sustained cardiac arrhythmia and is usually associated with underlying structural heart disease, but may also occur in isolation-the entity of "lone" atrial fibrillation. Recently, attention has been directed to the pulmonary veins as a source of the arrhythmia through identification of rapidly firing ectopic foci within the covering myocardial sleeves. We describe a 38-year-old man who presented with treatment-resistant atrial fibrillation and a posterior mediastinal mass. Electrophysiological studies demonstrated abnormal foci of electrical activity at the entrance of the right inferior pulmonary vein into the left atrium. Surgical exploration revealed a bronchogenic cyst that distorted and stretched the right inferior pulmonary vein as it traversed the posterior mediastinum towards the left atrium. Restoration of sinus rhythm without recurrence of atrial fibrillation characterized the clinical course after surgical resection of the mass. This case demonstrates that a retro-cardiac bronchogenic cyst can cause atrial fibrillation by impinging on a pulmonary vein.

KW - Atrial fibrillation

KW - Bronchogenic cyst

KW - Pulmonary vein

UR - http://www.scopus.com/inward/record.url?scp=33745273297&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745273297&partnerID=8YFLogxK

U2 - 10.1097/00000441-200606000-00010

DO - 10.1097/00000441-200606000-00010

M3 - Article

VL - 331

SP - 336

EP - 338

JO - American Journal of the Medical Sciences

JF - American Journal of the Medical Sciences

SN - 0002-9629

IS - 6

ER -