Paroxysmal Atrial Fibrillation in Patients Successfully Treated by Radiofrequency Catheter Ablation with Severely Compression, Lateral Displacement, and Clockwise Rotation of Their Hearts due to Severe Pectus Excavatum
| Autor: | Ryota Aoki, Takahiro Mito, Masao Takemoto, Teiji Okazaki, Satoko Kinoshita, Yoshibumi Antoku, Atsutoshi Matsuo, Keiichiro Tayama, Atsushi Tanaka, Satoru Hida, Kenichi Kosuga, Honsa Kang |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty pectus excavatum Sternum Case Report radiofrequency catheter ablation 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Pectus excavatum Internal medicine Atrial Fibrillation Internal Medicine medicine Humans 030212 general & internal medicine Clockwise Aged business.industry Atrial fibrillation General Medicine Middle Aged medicine.disease Compression (physics) Spinal column Lateral displacement Treatment Outcome Radiofrequency catheter ablation Funnel Chest Cardiology cardiovascular system Catheter Ablation Female business Tomography X-Ray Computed |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 |
| Popis: | Two cases with severe pectus excavatum and symptomatic atrial fibrillation (AF) underwent radiofrequency catheter ablation (RFCA). Their chest X-ray and computed tomography (CT) findings revealed lateral displacement and clockwise rotation of their hearts, and severe right atrial and mild right ventricular compression against the sternum, but no left atrium compression against the spinal column. The procedure was therefore carefully performed under guidance with CT, intra-cardiac echography, atriography, and a three-dimensions mapping system. Finally, the AF was successfully treated by RFCA without any complications. These findings underscore the importance of understanding cases of abnormal anatomy and carefully designing a strategy before performing any procedure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|