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Today, ablation techniques for atrial fibrillation (AF) are successfully increasing but catheter ablation may have important complication risks. We report the case of a 56-year-old woman with chronic AF who had left atrial rupture during catheter ablation. Echocardiography showed pericardial effusion during procedure and she was operated immediately. Left atrial rupture repaired with sternotomy. After stabilizing the hemodynamic and metabolic parameters, intraoperative bipolar ablation was performed. Patient had sinus rhythm postoperatively and she still has after 1-month follow-up. Percutaneous catheter ablation may have fatal complication risk and surgeon should always be courageous and prepared for ablation surgery, even in unusual cases.

Emergent Repair of Cardiac Rupture and Successful AF Ablation Procedure