Abstract
The substrate for atrial fibrillation (AF) in young patients with congenital heart disease could be heterogeneous. We report a 24-year old patient with persistent AF having the dilated right atrium following surgical repair of congenital heart disease demonstrating sustained pulmonary vein tachycardia (PVT) after pulmonary vein isolation. The sustained PVT could have been a major substrate for the maintenance of AF in this young patient.
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