title: [Radiofrequency ablation of long standing persistent atrial fibrillation and post-incisional macroreentrant right atrial tachycardia in patient with advanced biventricular heart failure--case raport].
abstract: We present a case of a 54 year old male with a long-standing atrial fibrillation (AF) who was scheduled for cardiac transplantation due to the progression of heart failure. Previous treatment included pacemaker implantation, mitral valvuloplasty, a-v node modification using RF ablation, and pharmacological therapy. This time the patient underwent complex AF ablation which consisted of pulmonary vein isolation, mitral and left atrial roof line creation, cavo-tricuspid isthmus ablation and ablation of complex fractionated atrial electrograms, which resulted in restoration of sinus rhythm. Because of the right atrial post-incisional tachycardia the patient underwent second ablation session. This complex invasive approach occurred successful. The patient remains in sinus rhythm with improved left ventricular function and better NYHA class over a 12-month follow-up.
authors.affiliation: Instytut Kardiologii, ul. Alpejska 42, 04-628 Warszawa.
authors.forename: Joanna
authors.initials: J
authors.lastname: Zakrzewska
authors.forename: Paweł
authors.initials: P
authors.lastname: Derejko
authors.forename: Ewa
authors.initials: E
authors.lastname: Szufladowicz
authors.forename: Robert
authors.initials: R
authors.lastname: Bodalski
authors.forename: Michał
authors.initials: M
authors.lastname: Orczykowski
authors.forename: Andrzej
authors.initials: A
authors.lastname: Przybylski
authors.forename: Lukasz
authors.initials: L
authors.lastname: Szumowski
authors.forename: Piotr
authors.initials: P
authors.lastname: Michałek
authors.forename: Franciszek
authors.initials: F
authors.lastname: Walczak
mesh_terms: D001281:Atrial Fibrillation / Q000150:complications / Q000601:surgery*; D017115:Catheter Ablation; D006333:Heart Failure / Q000150:complications* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000150:complications / Q000601:surgery*