Septic vegetation at the left atrial appendage entrance after pulmonary vein ablation for atrial fibrillation.
Pulmonary vein (PV) ablation is increasingly used to treat highly symptomatic atrial fibrillation. Here, we present a case of infective endocarditis (IE) after PV ablation at the uncommon position of the left atrial appendage entrance. We conclude that iatrogenic intracardial manipulation may create predisposing lesions for IE.
Weis
Sebastian
S
Department of Electrophysiology, Leipzig University Heart Center, Struempellstrasse 39, D-04289 Leipzig, Germany. sebweis@hotmail.com
Piorkowski
Christopher
C
Arya
Arash
A
Bollmann
Andreas
A
D020517:Atrial Appendage; D001281:Atrial Fibrillation / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects*; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D011667:Pulmonary Veins; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy