A 64-year-old man with atrial tachycardia (AT) 3 years after a superior vena cava (SVC) isolation for atrial fibrillation underwent electrophysiologic testing. SVC mapping with a basket catheter revealed a more frequent activation in the SVC than in either of the atria during the AT and consequently the recovered conduction between the SVC and right atrium. The conduction improved from 3 or 4-1 conduction to 2-1 conduction after adenosine was administered. Ectopic firing in the SVC persisted even after restoration of sinus rhythm by the successful SVC isolation, which was confirmed by adenosine. © 2006 by Futura Publishing Company, Inc.
