Open AccessA case of extensive encircling pulmonary vein isolation in a patient with severe scoliosis
Author(s) -
Kamihara Takahiro,
Kaneko Shinji,
Fujita Masaya,
Yamaguchi Kazutoshi,
Narita Shingo,
Haga Tomoaki,
Hayashi Daisuke,
Ohashi Taiki,
Kubota Ryuji,
Shinoda Masanori
Publication year - 2015
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2015.04.005
Subject(s) - medicine , scoliosis , pulmonary vein , isolation (microbiology) , surgery , ablation , bioinformatics , biology
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.