open access

Vol 66, No 11 (2008)
Other
Published online: 2008-11-27
Submitted: 2012-12-28
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Invasive electrophysiology
Radiofrequency ablation of long standing persistent atrial fibrillation and post-incisional macroreentrant right atrial tachycardia in patient with advanced biventricular heart failure – case raport

Joanna Zakrzewska, Paweł Derejko, Ewa Szufladowicz, Jerzy Bodalski, Michał Orczykowski, Andrzej Przybylski, Łukasz Szumowski, Piotr Michałek, Franciszek Walczak
Kardiol Pol 2008;66(11):1233-1238.

open access

Vol 66, No 11 (2008)
Other
Published online: 2008-11-27
Submitted: 2012-12-28

Abstract

We present a case of a 54 year old male with a long-standing atrial fibrillation (AF) who was scheduled for cardiac transplantation due to the progression of heart failure. Previous treatment included pacemaker implantation, mitral valvuloplasty, a-v node modification using RF ablation, and pharmacological therapy. This time the patient underwent complex AF ablation which consisted of pulmonary vein isolation, mitral and left atrial roof line creation, cavo-tricuspid isthmus ablation and ablation of complex fractionated atrial electrograms, which resulted in restoration of sinus rhythm. Because of the right atrial post-incisional tachycardia the patient underwent second ablation session. This complex invasive approach occurred successful. The patient remains in sinus rhythm with improved left ventricular function and better NYHA class over a 12-month follow-up.

Abstract

We present a case of a 54 year old male with a long-standing atrial fibrillation (AF) who was scheduled for cardiac transplantation due to the progression of heart failure. Previous treatment included pacemaker implantation, mitral valvuloplasty, a-v node modification using RF ablation, and pharmacological therapy. This time the patient underwent complex AF ablation which consisted of pulmonary vein isolation, mitral and left atrial roof line creation, cavo-tricuspid isthmus ablation and ablation of complex fractionated atrial electrograms, which resulted in restoration of sinus rhythm. Because of the right atrial post-incisional tachycardia the patient underwent second ablation session. This complex invasive approach occurred successful. The patient remains in sinus rhythm with improved left ventricular function and better NYHA class over a 12-month follow-up.
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Keywords

advanced biventricular heart failure; long standing persistent AF; post-incisional atrial tachycardia; successful RF ablation

About this article
Title

Invasive electrophysiology
Radiofrequency ablation of long standing persistent atrial fibrillation and post-incisional macroreentrant right atrial tachycardia in patient with advanced biventricular heart failure – case raport

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 66, No 11 (2008)

Pages

1233-1238

Published online

2008-11-27

Bibliographic record

Kardiol Pol 2008;66(11):1233-1238.

Keywords

advanced biventricular heart failure
long standing persistent AF
post-incisional atrial tachycardia
successful RF ablation

Authors

Joanna Zakrzewska
Paweł Derejko
Ewa Szufladowicz
Jerzy Bodalski
Michał Orczykowski
Andrzej Przybylski
Łukasz Szumowski
Piotr Michałek
Franciszek Walczak

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