Catheter ablation for atrial fibrillation and intervention for pulmonary vein stenosis in a patient with Fontan circulation. Issue 2 (17th October 2018)

• Record Type: Journal Article
• Authors: Uhm, Jae‐Sun; Choi, Jae Young; Kim, Young Jin; Kim, Tae‐Hoon; Joung, Boyoung; Pak, Hui‐Nam; Lee, Moon‐Hyoung
• Is Part Of: Pacing and clinical electrophysiology. Volume 42:Issue 2(2019)
• Page Start: 113
• Page End: 116
• Publication Date: 2018-10-17
• Subjects: atrial fibrillation -- catheter ablation -- congenital heart disease -- Fontan operation -- pulmonary vein stenosis; Cardiac pacing -- Periodicals; Electrophysiology -- Periodicals; 617.4120645
• DOI: 10.1111/pace.13515
• Languages: English
• ISSNs: 0147-8389

Abstract

Abstract: 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.