Catheter ablation for atrial fibrillation and intervention for pulmonary vein stenosis in a patient with Fontan circulation.
Jae Sun UhmJae Young ChoiYoung Jin KimTae-Hoon KimBoyoung JoungHui Nam PakMoon-Hyoung LeePublished in: Pacing and clinical electrophysiology : PACE (2018)
Incidence of atrial fibrillation (AF) is high in patients with congenial heart disease. However, management of AF is challenging in these patients. Although radiofrequency catheter ablation (RFCA) is effective therapeutic option for AF, RFCA for AF is not common in patients who underwent Fontan operation. We present a 24-year-old woman with paroxysmal AF, who underwent lateral tunnel Fontan operation for functional single ventricle. Circumferential pulmonary vein isolation was successfully performed. However, significant pulmonary vein stenosis developed after RFCA. Pulmonary vein stenosis was successfully treated by transcatheter intervention.
Keyphrases
- atrial fibrillation
- catheter ablation
- left atrial
- left atrial appendage
- oral anticoagulants
- direct oral anticoagulants
- end stage renal disease
- heart failure
- ejection fraction
- newly diagnosed
- chronic kidney disease
- randomized controlled trial
- percutaneous coronary intervention
- prognostic factors
- minimally invasive
- venous thromboembolism
- acute coronary syndrome