An Unusual Complication Of A Pulmonary Vein Isolation

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Conjoined Inferior Pulmonary Veins during Pulmonary Vein

pulmonary veins with the cryoballoon was confirmed with contrast injection. Isolation of each of the pulmonary veins was achieved with one freeze and one bonus freeze. The left inferior pulmonary vein required two freezes for isolation and one bonus freeze. The lowest temperature reached was -60 C at the left superior vein. Left atrial

Sternal fracture after elective electrical cardioversion of

of sternal fracture, a complication usually caused by blunt chest trauma (e.g., traffic or sports accidents), but hitherto unrelated to electrical cardioversion of AF. Iatrogenic sternal fracture is known to occur after cardio-pulmonary resuscitation due to chest compression [3] or application of a pre-cordial thumb [4]. In the present case

Minimally Invasive Surgical Release of Entrapped Mapping

Two cases of catheter entrapment in the mitral valve, which is a rare complication of pulmonary vein isolation, were successfully treated via robot-assisted minimally invasive surgery. ( Circ J 2008; 72: 1378 1380)

Surgical management of atrial fibrillation at the time of

radiofrequency pulmonary vein isolation) are used to treat both PAF and non-PAF, the observed outcomes are less successful (65% at 1 year) (11). Extrapolation of a Maze operation to concomitant cardiac surgery and HCM Unfortunately, the results of AF surgical ablation for AF associated with hypertrophic obstructive cardiomyopathy are limited (12).

Acaseofanablationcatheterentrappedinthepulmonary vein during

8. Monney P, Pascale P, Fromer M, Pruvot E. Catheter entrapment in a pulmonary vein a unique complication of pulmonary vein isolation. Chest 2010;138(2): 422 425. 9. Mansour M, Holmvang G, Sosnovik D, Migrino R, Abbara S, Ruskin J, Keane D. Assessment of pulmonary vein anatomic variability by magnetic resonance

Catheter Ablation for Atrial Fibrillation

Thereafter, depending on the technique used, pulmonary vein isolation will be performed using radiofrequency energy through a catheter designed to ablate rings around the veins within the atrium or Cryoablation performed using a special balloon that sits at the exit of the veins to the atrium. The procedure time can vary from 2-4 hours.

Cardiac papillary fibroelastoma originating from the coumadin

the left upper pulmonary vein and the left atrial appendage (figures 1 and 2). The CR in this patient was located posteriorly in the left atrium. The intra-cardiac echocardiography probe used to focus on the left upper pulmonary vein in preparation for pulmonary vein isolation provided improved visu-alisation of the CR. When TEE was performed,

Posterior common femoral branch pseudoaneurysm: an unusual

Aug 26, 2015 A 70-year-old male presented with groin pain and swelling 11 days following a pulmonary vein isolation procedure via an unguided femoral venous puncture for atrial fibrillation. On the fourth visit, his haemoglobin level had dropped from 14.2gl 1to 10.7gl Repeat duplex imaging revealed a large haematoma with deep flow. A CT angiogram

An unusual case of acute respiratory failure in a patient

15 years ago, the electrical isolation of PV was per-formed applying radiofrequency energy, very close to the ostium, but 7 8 years ago the majority of centers began avoiding this technique and radiofrequency energy is now applied outside the ostium of PV thus reducing the risk of pulmonary vein stenosis (PVS) in long-term follow-up.

CASE REPORT Open Access Unusual death due to a bleeding from

superficial vein. No obvious traumatic lesions were observed. Remarkable findings on internal examination included significant pallor of all the organs, subendocardial hemorrhages, a small yellowish, nodular and firm liver and an enlarged and congested spleen. Histology revealed pulmonary edema and liver cirrhosis.

A difficult entanglement: Guidewire entrapment within the

cases of pulmonary arterial catheters that were entangled in the tricuspid chordal apparatus. All 3 patients required cardiotomy for retrieval. More recently, an increasing KEY TEACHING POINTS Guidewire entrapment in the mitral apparatus is an unusual but serious complication of left-sided cardiac procedures.

Europass Curriculum Vitae

pulmonary vein isolation. J Interv Card Electrophysiol. 2008; 21(3):227-34. 15. Casella M, Pieroni M, Dello Russo A, Pennestrı`F, Meduri A, Natale L, Bellocci F, Crea F. Characterization of the electroanatomic substrate in a case of noncompaction left ventricle. J Cardiovasc Med 2008, 9(6): 636-8. 16.

IgG4-Related Systemic Disease and Lymphoplasmacytic Aortitis

the heart for pulmonary vein mapping. This was per-formed in anticipation of pulmonary vein isolation and atrial fibrillation ablation. The CT scan showed a focal aortic dissection in the ascending aorta (Figure 1). The dissection arose 4 cm above the level of the coronary arteries and terminated at the level of the right common carotid artery.

Esophago-Pericardial Fistula Following Ablation of the Atrial

focused US catheter ablation for pulmonary vein isolation: a novel complication in the treatment of symptomatic refractory atrial fibrillation. Gastrointestinal Endoscopy 2008 Vol 68, No3: 597-599. 4. Bahnson TD. Strategies to minimize the risk of esophageal injury during catheter ablation for atrial fibrillation. Pacing Clin

Review Article Catheter Ablation for Atrial Fibrillation

upper pulmonary vein during a segmental ostial pulmonary vein isolation procedure. A third electrode catheter is positioned in the coronary sinus. Segmental ostial ablation has been associated with high success rates in patients with paroxysmal lone atrial fibrillation. Among the first 58 patients treated at the University of AF.


following a pulmonary vein isolation procedure reduced their risk of experiencing afib recurrence by 39% during the first 8 weeks following the procedure. Perhaps even more important, they also reduced their risk of recurrence by 28% beyond the 8-week mark.

Pulmonary Vein Anatomy in Patients Undergoing Catheter

atrial fibrillation (AF) using a pulmonary vein (PV) approach has emerged from being a highly experimental procedure to a procedure performed in many electrophysiol-ogy laboratories.1 6 PV stenosis has been identified as a unique complication of this procedure.7,8 Increasing evidence suggests that the risk of PV stenosis may be

Pulmonary Vein Remnant as a Trigger Site for Atrial Fibrillation

rior pulmonary veins: Implications for pulmonary vein isolation in atrial fibrillation. Circ Arrhythm Electrophysiol 2008; 1: 407 408. 6. Yu R, Dong J, Zhang Z, Liu X, Kang J, Long D, et al. Characteristics in image integration system guiding catheter ablation of atrial fibril-lation. Pacing Clin Electrophysiol 2008; 31: 93 98. 7.

CASE REPORT Open Access - BioMed Central

thrombus. The patient underwent segmental pulmonary vein isolation and linear ablation within the left atrium for substrate modification, as well as linear ablation of the cavo-tricuspid isthmus for ablation of the classic right atrial flutter circuit. An irrigated catheter tip was used. Intravenous heparin was commenced the morning of and

Ablation Is A Treatment Option Without Permanent Pacemaker

Isolation of all pulmonary veins is a cornerstone of the treatment. The procedure is associated with serious complications like pulmonary vein (PV) stenosis. Herein, we present a technically challenging case of PV isolation in a patient who held left-sided pnemonectomy due to lung cancer.

Right Aortic Arch with Isolation of Left Innominate Artery*

inate vein, pulmonary arteriovenous fistula, ventricular septal defect with aortic insufficiency, supravalvular pulmonic stenosis, congenital absence of the pulmonary valve, and coronary arterial fistula. This patient's lack of symptoms prior to injury, normal ECG, and chest roentgenograms are not unusual for individuals with a

Lemierre s Syndrome: An Unusual Cause of Calf Abscess

vein with seeding of septic emboli that usually migrate to pulmonary capillaries.6 As a result, the most frequent site of septic metastases are the lungs, with pleuropulmonary complications such as empyema or lung abscess occurring in 92% of cases in a recent case review by Riordan.5 The most common extrapulmonary complication is septic

Electrophysiological characteristics of atrial tachycardia

med in left inferior pulmonary vein and mitral an- nulus, however, no target point was found ahead of CS1-2, the tried discharge was invalid. The ablation catheter was entered the coronary sinus to guide electrical isolation, curing the tachycardia. The ECG returned to normal sinus rhythm. Through three years follow up, no AT recurrence.

Kriyobalon uygulaması esnasında koroner yavaş akıma bağlı

article comparing pulmonary vein isolation (PVI) us-ing cryoballoon and radiofrequency for paroxysmal AF, transient ST-segment elevation was detected in 1.5% of patients during first-generation cryoballoon ablation.[4] The present case is a description of the occurrence of transient ST-segment elevation during

Anaesthetic literature

chology surgery treatment vein diazepam] by-pass complication drugs heart n.s. other-central-depressants psy- soc. j., 15, 142 (mar.). [abnormal anaesthesia below-normal blood-flow c.v.s. complication distribution gas gas-exchange heart hypoxia lung output physiology r.s. review shunt surgery ventilation oxygen]


15. Murney S, Mansour A, Jordan K, LaPerna L. Endofibrosis: An Unusual Cause of Leg Pain in an Athlete. Journal of Sports Medicine and Physical Activity. 2015 Jul 3 Epub PMID: 26140352 16. Jordan K, Elliott JO, Wall S, Saul E, Sheth R, Coffman J. Associations with resuscitation choice: Do not resuscitate, full code or undecided.

Blister In The Sun: A Case Of Porphyria Cutanea Tarda

atrio-esophageal fistula is a rare but often fatal complication of pulmonary vein isolation in the treatment of atrial fibrillation and should be considered in any patient presenting subacutely with sepsis, stroke, or GI bleed.

Catheter Entrapment in a Pulmonary Vein

monary vein isolation (PVI) is a complex proce-dure with an estimated 12-month success rate of up to 89%. 1 It also bears a signifi cant risk of complica-tions, ranging from 3.9% to 5.9%. 2 , 3 We report a case of mechanical disruption of a pulmonary vein (PV) branch secondary to the entrapment of the ablation catheter during PVI.

Successful radiofrequency pulmonary vein isolation in a

the isolation of all pulmonary veins (PVs). AF is associated with serious complications including PV stenosis. Presently described was a technically challenging case of PV isola-tion in a patient with left-sided pneumonectomy due to lung cancer. 437 I solation of the pulmonary veins (PVs) is a corner-

s c u l a r Medici Journal of Vascular n o f l a urg u e o ry

Persistent iatrogenic atrial septal defect after pulmonary vein isolation : incidence and clinical implications. J Interv Card Electrophysiol 22: 177-181. 8. Cohn LH, Edmunds LH Jr (2003) Cardiac surgery in the adult (2ndedn), McGraw-Hill. 9. Khanna A, Barberena J, Skolnick D (2005) An unusual case of shunting

Case report - University of Pretoria

scimitar vein being redirected to the LA and ligation or coil embolisation of the systemic collateral supply to the right lung.12-15 Obstruction by thrombosis and fibrosis of the redirected pulmonary vein is a common post-operative complication.12 Lobectomy, and in some cases, pneumonectomy of the affected lung has been performed.3,12

Pulmonary artery aneurysm caused by

an unusual complication of Aspergilluspneumonia, the identification and successful treatment of pulmonary artery aneurysms requires a high-index of suspicion. Keywords: Aspergillus fumigatus; endovascular coil embolisation; invasive aspergillosis; pneumonia; pulmonary artery aneurysm

Contrast-Enhanced MRA and 3D Visualization of Pulmonary

In pulmonary vein isolation as a treatment for atrial fibrillation the proximal part of the pulmonary veins is catheterized. A protocol for preinterventional assessment of pulmonary vein anatomy was developed, based on contrast-enhanced magnetic resonance angiography (MRA) in combination with three-dimensional visualization to

Atrial fibrillation ablation: contemporary practice and future

pulmonary vein isolation is almost invariably associated with electrical reconnection of one or more pulmonary veins although a small proportion also require ablation of non-pulmonary vein foci.7 In 2010, success rates in excess of 90%, defined as freedom from atrial tachyarrhythmias off all antiarrhythmic agents after a 3-month blanking period,

The American Society of Neuroimaging 2016 Annual Meeting

BACKGROUND & PURPOSE: Atrioesophageal fistula (AEF) is a rare but highly morbid complication of pulmonary vein isolation (PVI). Its presentation can include GI bleeding, sepsis, seizures, meningitis and embolic strokes. Complications of AEF can be seen from 3 to 40 days after the procedure and diagnosis is essential to the survival of patients.

Astracts - BMJ

monary vein isolation after atrium septum puncture. The success rate was 100%, and complication was not occurred. Conclusions Even though the success rate of RFCA with PLSVC and SVT was high and the complication rate was low, the recog-nization of PLSVA, the skills of ablation and the precaution of com-plications should be payed attention.

Journal of Arrhythmia

of the myocardial sleeve and local firing in the LA roof vein. We performed isolation of this arrhyth-mogenic abnormal vein concomitant with general pulmonary vein isolation in this case, and AF did not recur after the procedure. & 2017 Japanese Heart Rhythm Society. Published by Elsevier B.V. This is an open access article under the

Atrium-Atrioventricular Node Conduction Block during Catheter

pulmonary vein (PV) isolation has been applied also in patients with persistent AF. However, the clinical outcome of PV isolation in persistent AF has been limited as compared to paroxysmal AF. To improve the efficacy of the catheter ablation of persistent AF, ablation techniques to modi-fy the atrial substrate have been developed in the last