Journal of Arrhythmia (Dec 2015)

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

  • Takahiro Kamihara,
  • Shinji Kaneko,
  • Masaya Fujita,
  • Kazutoshi Yamaguchi,
  • Shingo Narita,
  • Tomoaki Haga,
  • Daisuke Hayashi,
  • Taiki Ohashi,
  • Ryuji Kubota,
  • Masanori Shinoda

DOI
https://doi.org/10.1016/j.joa.2015.04.005
Journal volume & issue
Vol. 31, no. 6
pp. 388 – 390

Abstract

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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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