Gastric hypomotility following epicardial vagal denervation ablation to treat atrial fibrillation.
We report a case of a 55-year-old man with vagal paroxysmal atrial fibrillation (AF) who was submitted to selective epicardial and endocardial atrial vagal denervation with the objective of treating AF. Radiofrequency pulses were applied on epicardial and endocardial surface of the left atrium close to right pulmonary veins (PVs) and also on epicardial surface close to left inferior PV. Following the procedure, patient presented with symptoms of gastroparesis, which was documented on CT scan and gastric emptying scintigraphy. Symptoms were transient and the patient recovered completely.
Pisani
Cristiano F
CF
Heart Institute, University of São Paulo Medical School, São Paulo, Brazil.
Hachul
Denise
D
Sosa
Eduardo
E
Scanavacca
Mauricio
M
D001281:Atrial Fibrillation / Q000503:physiopathology / Q000628:therapy*; D017115:Catheter Ablation / Q000009:adverse effects* / Q000379:methods; D003714:Denervation / Q000009:adverse effects / Q000379:methods; D005769:Gastrointestinal Motility; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000294:innervation* / Q000502:physiology; D013272:Stomach Diseases / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D016896:Treatment Outcome; D014628:Vagotomy / Q000009:adverse effects / Q000379:methods; D014630:Vagus Nerve / Q000502:physiology* / Q000601:surgery