Right to left shunt following radiofrequency catheter ablation of atrial fibrillation in a patient with complex congenital heart disease | Zendy

J. W. McCready | Zendy; James Moon | Zendy; Anthony W. Chow | Zendy

Open Access

Right to left shunt following radiofrequency catheter ablation of atrial fibrillation in a patient with complex congenital heart disease

Author(s) -

J. W. McCready,

James Moon,

Anthony W. Chow

Publication year - 2009

Publication title -

ep europace

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.119

H-Index - 102

eISSN - 1532-2092

pISSN - 1099-5129

DOI - 10.1093/europace/eup353

Subject(s) - medicine , shunting , cardiology , atrial fibrillation , ablation , catheter ablation , shunt (medical) , catheter , heart disease , radiofrequency ablation , surgery

We report a case of an iatrogenic atrial septal defect following left atrial ablation for persistent atrial fibrillation in a patient with a Fontan circulation. Transseptal puncture was performed with two sheaths across a single puncture and left atrial ablation undertaken. Post procedure the patient became cyanosed with right to left shunting. Transcatheter closure immediately improved symptoms and oxygen saturation.

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