Pulmonary vein isolation for paroxysmal atrial fibrillation
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Atrial arrhythmia is common in patients with an atrial septal defect (ASD).Atrial fibrillation (AF) is the main cause of morbidity in older patients with ASD. This is a unique report of pulmonary vein isolation (PVI) for paroxysmal AF in a patient with stand-alone unroofed CS.A 74-year-old woman was admitted to our hospital to undergo catheter ablation for treatment of symptomatic paroxysmal AF. She had been anticoagulated for 6 years. Transthoracic echocardiography showed right atrial and ventricular dilation, pulmonary hypertension and a dilated CS in the parasternal long-axis view. Enhanced computed tomography (CT) revealed an unroofed CS and a grossly dilated pulmonary artery. There were no other congenital anomalies. The patient chose catheter ablation to control the rhythm, rather than surgical repair of the unroofed CS and the Maze procedure....

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