This case demonstrates that an immediate superior vena cava (SVC) conduction block may occur during pulsed field ablation (PFA) due to anatomical proximity, a positive tissue proximity index, and a narrow SVC diameter. However, lesions not directly influenced by PFA tend to regress and may be reversible, leading to SVC potential reconduction. CS, coronary sinus
d, distal
LAO, left oblique view
LL, left lateral
p, proximal
PA, posteroanterior view
RA, right atrial
RAO, right oblique view
RSPV, right superior pulmonary vein
RV, right ventricular
SUP, superior view.