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