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Catheter ablation for atrial fibrillation and intervention for pulmonary vein stenosis in a patient with Fontan circulation
Authors:Jae‐Sun Uhm  Jae Young Choi  Young Jin Kim  Tae‐Hoon Kim  Boyoung Joung  Hui‐Nam Pak  Moon‐Hyoung Lee
Abstract:Incidence of atrial fibrillation (AF) is high in patients with congenial heart disease. However, management of AF is challenging in these patients. Although radiofrequency catheter ablation (RFCA) is effective therapeutic option for AF, RFCA for AF is not common in patients who underwent Fontan operation. We present a 24‐year‐old woman with paroxysmal AF, who underwent lateral tunnel Fontan operation for functional single ventricle. Circumferential pulmonary vein isolation was successfully performed. However, significant pulmonary vein stenosis developed after RFCA. Pulmonary vein stenosis was successfully treated by transcatheter intervention.
Keywords:atrial fibrillation  catheter ablation  congenital heart disease  Fontan operation  pulmonary vein stenosis
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