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A 60-year-old male presented with chronic atrial fibrillation. A trans-femoral catheter ablation was planned. The catheter was impacted in the left atrial wall (Fig. 1). Consequently, the procedure was interrupted before achieving resynchronisation. Catheter withdrawal was only possible after median sternotomy and closed manipulation of the catheter to release it.

Impending rupture of the left atrium after impaction of left atrial ablation catheter