Evidence of specialized conduction cells in human pulmonary veins of patients with atrial fibrillation

Alejandro Perez-Lugones, James T. McMahon, Norman B. Ratliff, Walid I. Saliba, Robert A. Schweikert, Nassir F. Marrouche, Eduardo B. Saad, José L. Navia, Patrick M. McCarthy, Patrick Tchou, A. Marc Gillinov, Andrea Natale*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

158 Scopus citations

Abstract

Introduction: Depolarizations similar to those from the sinus node have been documented from the pulmonary veins after isolation procedures. We assessed the hypothesis that sinus node-like tissue is present in the pulmonary veins of humans. Methods and Results: Pulmonary vein tissue was obtained from five autopsies (four individuals with a history of atrial fibrillation and one without a history of atrial arrhythmias) and five transplant heart donors. Autopsy veins were fixed in formaldehyde and processed for light microscopy to identify areas having possible conductive-like tissue. Areas requiring additional study were extracted from paraffin blocks and reprocessed for electron microscopy. Donor specimens were fixed in formaldehyde for histologic sections and glutaraldehyde for electron microscopy. Myocardial cells with pale cytoplasm were identified by light microscopy in 4 of the 5 autopsy subjects. Electron microscopy confirmed the presence of P cells, transitional cells, and Purkinje cells in the pulmonary veins of these cases. Conclusion: Our report is the first to show the presence of P cells, transitional cells, and Purkinje cells in human pulmonary veins. Whether these cells are relevant in the genesis of atrial fibrillation requires further study.

Original languageEnglish (US)
Pages (from-to)803-809
Number of pages7
JournalJournal of cardiovascular electrophysiology
Volume14
Issue number8
DOIs
StatePublished - Aug 1 2003

Keywords

  • Atrial fibrillation
  • P cells
  • Pulmonary
  • Sinus node
  • Veins

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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