ArticleInterdisciplinary cardiovascular and thoracic surgery2024
Temporary sinus node dysfunction following ablation of atrial fibrillation in patients with aberrancy of the sinus node artery: a case series.
Article in Interdisciplinary cardiovascular and thoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Innervation of the Human Atrioventricular Node via the Inferior Pyramidal Space: Characterization Using Intersectional Strategies.Circulation. Arrhythmia and electrophysiology · 2026Article
- Incidence and Outcomes of Early Pacemaker Implantation for Sinus Node Dysfunction Following Atrial Fibrillation Ablation.Journal of cardiovascular electrophysiology · 2026Article
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4 authors.
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Abstract
objectivesOur goal was to investigate sinus node dysfunction (SND) as a rare complication following surgical and catheter atrial fibrillation (AF) ablation in patients with an aberrant sinus node artery (SNA).
methodsWe used a retrospective analysis of 3 patients with an aberrant SNA who underwent different AF ablation procedures: 1 concomitant to aortic valve replacement, 1 thoracoscopic hybrid AF ablation and 1 catheter AF ablation.
resultsAll patients experienced temporary SND perioperatively. In the first patient, sinus rhythm (SR) recovered by postoperative day 6. In the second patient, SR returned by postoperative day 14. The third patient had a sinus arrest during ablation that restored to SR immediately post-procedure. All patients had normal SR at the 3-month follow-up.
conclusionsAwareness of SNA anatomy can help to prevent iatrogenic SND during AF ablation. If SND occurs, a wait-and-see approach is recommended, given that sinus node function seems to recover. Because SND recovers, the benefits of posterior wall isolation could outweigh the disadvantages of temporary SND.
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