Abstract
A 54-year-old man with paroxysmal atrial fibrillation underwent
pulmonary vein (PV) isolation using a 28 mm second-generation
cryoballoon catheter. Unexpected electrical superior vena cava (SVC)
isolation during cryoballoon application to the right superior PV was
observed in the first procedure. Thirteen-months after cryoballoon-based
PV isolation, sustained SVC fibrillation was confirmed irrespective of
sinus rhythm. Voltage mapping visualized a low voltage area around the
SVC was consistent with that around the right superior PV. SVC isolation
was obtained by cryoballoon application to the right superior PV and
persisted for over a year.