Right to left shunt following radiofrequency catheter ablation of atrial fibrillation in a patient with complex congenital heart disease.
We report a case of an iatrogenic atrial septal defect following left atrial ablation for persistent atrial fibrillation in a patient with a Fontan circulation. Transseptal puncture was performed with two sheaths across a single puncture and left atrial ablation undertaken. Post procedure the patient became cyanosed with right to left shunting. Transcatheter closure immediately improved symptoms and oxygen saturation.
McCready
James W
JW
The Heart Hospital, University College Hospital, UCL, London W1G 8PH, UK. jack.mccready@uclh.nhs.uk
Moon
James C
JC
Chow
Anthony W
AW
D000328:Adult; D001281:Atrial Fibrillation / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects*; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D055989:Septal Occluder Device; D018785:Tricuspid Atresia / Q000601:surgery*