A case of extensive encircling pulmonary vein isolation in a patient with severe scoliosis

Publication date: Available online 23 May 2015 Source:Journal of Arrhythmia Author(s): Takahiro Kamihara , Shinji Kaneko , Masaya Fujita , Kazutoshi Yamaguchi , Shingo Narita , Tomoaki Haga , Daisuke Hayashi , Taiki Ohashi , Ryuji Kubota , Masanori Shinoda The patient was a 62-year-old man with atrial fibrillation and severe scoliosis. Scoliosis may impair cardiorespiratory function. Enhanced computed tomography (CT) was helpful for the Brockenbrough method. Three-dimensional (3D) mapping also demonstrated clockwise rotation of the heart. We successfully isolated extensive encircling pulmonary vein in this patient using enhanced CT and 3D mapping. The CT venous images revealed appropriate localization of the vein and heart. CT and 3D mapping may ensure a more stable and safer procedure.
Source: Journal of Arrhythmia - Category: Cardiology Source Type: research