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

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 successfu...

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Detalles Bibliográficos
Autores principales: Kamihara, Takahiro, Kaneko, Shinji, Fujita, Masaya, Yamaguchi, Kazutoshi, Narita, Shingo, Haga, Tomoaki, Hayashi, Daisuke, Ohashi, Taiki, Kubota, Ryuji, Shinoda, Masanori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4672034/
https://www.ncbi.nlm.nih.gov/pubmed/26702320
http://dx.doi.org/10.1016/j.joa.2015.04.005
Descripción
Sumario: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.

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