Cryoballoon pulmonary vein isolation and left atrial appendage occlusion prior to atrial septal defect closure: A case report

作     者：Yu-Cheng Wu Mei-Xiang Wang Ge-Cai Chen Zhong-Bao Ruan Qing-Qing Zhang 

作者机构：Department of CardiologyTaizhou People’s HospitalTaizhou 225300Jiangsu ProvinceChina Department of EndocrinologyTaizhou People’s HospitalTaizhou 225300Jiangsu ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第12期

页      面：3872-3878页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Supported by Taizhou People’s Hospital Scientific Research Start-Up Fund Project No. QDJJ202113 

主　　题：Atrial fibrillation Atrial septal defect Cryoballoon Pulmonary vein isolation Left atrial appendage occlusion Case report 

摘      要：BACKGROUND In patients who suffer from both atrial fibrillation(AF)and atrial septal defect(ASD),cryoballoon pulmonary vein isolation(PVI),sequential left atrial appendage(LAA)occlusion and ASD closure could be a strategy for effective prevention of stroke and right heart *** SUMMARY A 65-year-old man was admitted to our institution due to recurrent episodes of palpitations and shortness of breath for 2 years,which had been worsening over the last 48 *** had a history of AF,ASD,coronary heart disease with stent implantation and *** and laboratory examinations showed no *** score of CHA2DS2VASc was 3,and HAS-BLED was *** revealed a 25-mm secundum *** vein(PV)and LAA anatomy were assessed by cardiac computed *** mapping with 10-pole Lasso catheter was performed following ablation of all four PVs with complete *** the cryoballoon PVI,the patient underwent LAA occlusion under transesophageal echocardiographic ***,a 34-mm JIYI ASD occlude device was implanted.A follow-up transesophageal echocardiography at 3 mo showed proper position of both devices and neither thrombi nor leakage was *** Sequential cryoballoon PVI and LAA occlusion prior to ASD closure can be performed safely in AF patients with ASD.