Intra-Atrial Endothelial Lesion Resulting from Transseptal Puncture for Catheter Ablation of Atrial Fibrillation

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Intra-atrial endothelial lesion resulting from transseptal puncture for catheter ablation of atrial fibrillation

Thromboembolic events are known complications of left atrial ablation therapy. We describe a complication which may also lead to systemic thromboembolism that has not been reported so far: the formation of a moving structure attached to the fossa ovalis after an attempted transseptal puncture in a 66-year old patient with symptomatic paroxysmal atrial fibrillation.

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A 47-year-old man with drug-resistant paroxysmal atrial fibrillation underwent left atrial (LA) catheter ablation. After sheaths were inserted into the LA using the Brockenbrough method, he complained of angina and developed ST-segment elevation in the II, III, aVF, V5, and V6 leads. Ventricular fibrillation (VF) occurred followed by ventricular tachycardia. The VF was successfully treated with...

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Catheter Ablation for Atrial Fibrillation

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everal different approaches have been proposed for targeting the pulmonary veins (PVs) or atria in catheter ablation for atrial fibrillation (AF). It was initially focal radiofrequency (RF) application inside the PV, then PV ostial isolation by segmental RF applications guided by a circular mapping catheter was developed (EP-guided method).1 Another standard method, circumferential PV isolation...

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Atrial fibrillation (AF) is a supraventricular tachyarrhythmia characterized by uncoordinated atrial activation with associated deterioration of atrial mechanical function.1 It is the most common cardiac arrhythmia, becomes more prevalent with age,2 and is associated with an increased long-term risk of stroke, heart failure, and all-cause mortality.3 AF can occur in the absence of underlying he...

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ژورنال

عنوان ژورنال: Heart International

سال: 2012

ISSN: 1826-1868,2036-2579

DOI: 10.4081/hi.2012.e8