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A case of paroxysmal atrial fibrillation in a patient successfully treated by radiofrequency catheter ablation with a severely right-sided dislocation of the heart after a total right lung excision.

Ryota AokiMasao TakemotoKazuta NakasugaHonsa KangAtsushi TanakaTakahiro MitoYoshibumi AntokuAtsutoshi MatsuoSatoru HidaTeiji OkazakiKiyonobu YoshitakeKei-Ichiro TayamaKen-Ichi Kosuga
Published in: Journal of arrhythmia (2018)
A 72-year-old woman with symptomatic and drug-refractory paroxysmal atrial fibrillation (AF) underwent radiofrequency catheter ablation (RFCA). She had a history of a total right lung excision. Her chest X-ray and computed tomography (CT) revealed a severely sight-sided dislocation of the heart. Thus, the procedure was carefully performed under guidance of a CT, intracardiac echogram, atriography, and 3D mapping system. Finally, the AF was successfully treated by RFCA without any complications.
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