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Case Reports
. 2020 Aug 17;13(8):e235833.
doi: 10.1136/bcr-2020-235833.

Left atrial vegetation after pulmonary vein isolation

Sean Gaine  1 , John Joseph Coughlan  2 , Richard Szirt  3 , Sadat Ali Edroos  4
Affiliations
Case Reports

Left atrial vegetation after pulmonary vein isolation

Sean Gaine et al. BMJ Case Rep. .
No abstract available

Keywords: cardiovascular medicine; clinical diagnostic tests; pacing and electrophysiology; valvular diseases.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Transoesophageal echocardiogram demonstrating a large vegetation arising from the posterior left atrial wall (white arrow).
Figure 2
Figure 2
Gated cardiac CT confirming the presence of the vegetation in proximity to the oesophagus. It did not find any evidence of an atrio-oesophageal fistula (black arrow).
See this image and copyright information in PMC

References

    1. Weis S, Piorkowski C, Arya A, et al. . Septic vegetation at the left atrial appendage entrance after pulmonary vein ablation for atrial fibrillation. Europace 2008;10:215–7. 10.1093/europace/eun006 - DOI - PubMed
    1. Schmidt M, Nölker G, Marschang H, et al. . Incidence of oesophageal wall injury post-pulmonary vein antrum isolation for treatment of patients with atrial fibrillation. Europace 2008;10:205–9. 10.1093/europace/eun001 - DOI - PubMed
    1. Garuba HA. Left atrial-esophageal fistula following ablation for atrial fibrillation. J Am Coll Cardiol 2014;63:A569 10.1016/S0735-1097(14)60659-8 - DOI

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