We present the first ever reported case of a super morbidly obese patient (BMI > 60) with drug refractory, symptomatic persistent atrial fibrillation who underwent an uncomplicated, but unsuccessful PVI ablation procedure and subsequently underwent AV node ablation and cardiac resynchronization therapy - pacemaker (CRT-P) insertion using a zero fluoroscopy technique. This case demonstrates the following two critical points: (1) difficulties in the treatment of massively obese patients with arrhythmias1; (2) increased use of fluoroless procedures2-4.
Keyphrases
- cardiac resynchronization therapy
- catheter ablation
- obese patients
- atrial fibrillation
- heart failure
- left ventricular
- weight loss
- adipose tissue
- bariatric surgery
- metabolic syndrome
- left atrial
- type diabetes
- left atrial appendage
- radiofrequency ablation
- lymph node
- big data
- case report
- positron emission tomography
- congenital heart disease
- combination therapy
- weight gain
- emergency department
- pulmonary embolism
- venous thromboembolism