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Reshaping Prognosis: Atrial fibrillation ablation in a case of severe tachycardiomyopathy in a young patient Cover

Reshaping Prognosis: Atrial fibrillation ablation in a case of severe tachycardiomyopathy in a young patient

Romanian Journal of Cardiology
Volume 34 (2024): Issue 1 (March 2024)
By: Diana-Cristina Matei,  Zamfira-Claudia Nistor,  Alexandru Paul Burcin,  Nic Claudiu Dragotoiu,  Leonard Alexandru Mandeş,  Elena Laura Antohi and  Sergiu-Nicolae Sipos  
Open Access
|Mar 2024

Figures & Tables

Figure 1

Transthoracic Echocardiography at admission – Apical two-chamber view of the dilated left ventricle with a calculated ejection fraction of 15%.
Transthoracic Echocardiography at admission – Apical two-chamber view of the dilated left ventricle with a calculated ejection fraction of 15%.

Figure 2

Preprocedural electrocardiogram showing atrial fibrillation.
Preprocedural electrocardiogram showing atrial fibrillation.

Figure 3

Intracardiac Echocardiography (ICE) image capturing the moment of transseptal puncture (a – tenting of the fossa ovalis upon contact with the needle; b – injection of saline bubbles confirming needle placement in the left atrium; c,d – transseptal sheath insertion). Red asterisk (*) showing the sheath through the interatrial septum.
Intracardiac Echocardiography (ICE) image capturing the moment of transseptal puncture (a – tenting of the fossa ovalis upon contact with the needle; b – injection of saline bubbles confirming needle placement in the left atrium; c,d – transseptal sheath insertion). Red asterisk (*) showing the sheath through the interatrial septum.

Figure 4

Intraprocedural fluoroscopy image showing contrast medium into the lumen at the tip of the balloon (red asterisk) that confirms left inferior pulmonary vein occlusion.
Intraprocedural fluoroscopy image showing contrast medium into the lumen at the tip of the balloon (red asterisk) that confirms left inferior pulmonary vein occlusion.

Figure 5

Intraprocedural Electrogram demonstrating exit block (orange arrow showing absence of conduction to the atria after pacing from the left inferior pulmonary vein).
Intraprocedural Electrogram demonstrating exit block (orange arrow showing absence of conduction to the atria after pacing from the left inferior pulmonary vein).

Figure 6

3-month Follow-up Transthoracic Echocardiography – Apical two-chamber view of the left ventricle showing a calculated ejection fraction of 56% and significant reverse remodelling.
3-month Follow-up Transthoracic Echocardiography – Apical two-chamber view of the left ventricle showing a calculated ejection fraction of 56% and significant reverse remodelling.
DOI: https://doi.org/10.2478/rjc-2024-0002 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
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Language: English
Page range: 45 - 49
Published on: Mar 29, 2024
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
tachycardiomyopathy,
atrial fibrillation,
cryoablation
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Cardiology,
Pediatrics and juvenile medicine,
Paediatric cardiology,
Surgery,
Cardiac surgery

© 2024 Diana-Cristina Matei, Zamfira-Claudia Nistor, Alexandru Paul Burcin, Nic Claudiu Dragotoiu, Leonard Alexandru Mandeş, Elena Laura Antohi, Sergiu-Nicolae Sipos, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.

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