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Successful tricuspid annulus ablation for adenosine sensitive atrial tachycardia originating from the mitral annulus.
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  • Ryosuke Takeuchi,
  • natsuko hosoya,
  • Yosuke Mizuno,
  • Gaku Matsukura,
  • Masayoshi Matsunari,
  • Rumi Takabayashi,
  • Mariko Ozeki,
  • Takahiro Kanda,
  • Kei Tawarahara,
  • Akira Fujiki
Ryosuke Takeuchi
Hamamatsu Red Cross Hospital

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natsuko hosoya
Hamamatsu Medical Center
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Yosuke Mizuno
Shizuoka City Shizuoka Hospital
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Gaku Matsukura
Hamamatsu Red Cross Hospital
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Masayoshi Matsunari
Hamamatsu Red Cross Hospital
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Rumi Takabayashi
Hamamatsu Red Cross Hospital
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Mariko Ozeki
Hamamatsu Red Cross Hospital
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Takahiro Kanda
Hamamatsu Red Cross Hospital
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Kei Tawarahara
Hamamatsu Red Cross Hospital
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Akira Fujiki
Shizuoka Heart Rhythm Clinic
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Abstract

A 57-year-old man with repetitive long R–P supraventricular tachycardia (SVT) was referred for radiofrequency catheter ablation. SVT was sensitive to adenosine triphosphate, was not linked between atrial and ventricular activation, and did not terminate with the ventricular response; thus, we speculated reentrant atrial tachycardia (AT). Although the mitral annulus (MA) was the earliest atrial activation site (EAAS; 5 o’clock), AT was ablated not at the EAAS, but at the tricuspid annulus (TA; 4 o’clock), 24 ms later than the EAAS. We suggest that preferential conduction from the TA to the EAAS of the MA may be involved in AT.