Atrial Fibrillation Ablation in a Patient with Cor Triatriatum Sinister and Left Common Pulmonary Vein: Impact of Left Atrium Anatomy on Ablation Approach
Ioan-Alexandru Minciună,
Gabriel Cismaru,
Mihai Puiu,
Radu Roșu,
Denis Amet,
Daniela Anghelina,
Alexandra Gica,
Raluca Tomoaia,
Marius Andronache,
Dana Pop
Affiliations
Ioan-Alexandru Minciună
5th Department of Internal Medicine, Faculty of Medicine, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Gabriel Cismaru
5th Department of Internal Medicine, Faculty of Medicine, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Mihai Puiu
Department of Cardiology, Clinical Rehabilitation Hospital, 400347 Cluj-Napoca, Romania
Radu Roșu
5th Department of Internal Medicine, Faculty of Medicine, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Denis Amet
Adult Congenital Heart Disease Medico-Surgical Unit, AP-HP, Georges Pompidou European Hospital, 75015 Paris, France
Daniela Anghelina
Cardiology Department, AP-HP Paris-Saclay, Bicêtre Hospital, 94270 Le Kremlin-Bicêtre, France
Alexandra Gica
Department of Cardiology, Ares Hospital, 400015 Cluj-Napoca, Romania
Raluca Tomoaia
5th Department of Internal Medicine, Faculty of Medicine, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Marius Andronache
Cardiology Department, CHU Clermont-Ferrand, Clermont University, ISIT-CaVITI, 58 rue Montalembert, 63000 Clermont-Ferrand, France
Dana Pop
5th Department of Internal Medicine, Faculty of Medicine, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Atrial fibrillation is the most common presentation in adult patients with cor triatriatum sinister. The key to successful and safe catheter ablation in these patients is an accurate exploration and thorough understanding of the left atrial anatomy, both before and during the procedure. Catheter manipulation is highly dependable on left atrial anatomy, including the interatrial septum, insertion of pulmonary veins and cor triatriatum membrane. Anatomical variants such as the left common pulmonary trunk may influence the ablation approach and outcome. We report the case of a 52-year-old patient with cor triatriatum sinister and the left common pulmonary vein variant who underwent successful high-power, short-duration catheter ablation for paroxysmal atrial fibrillation.
