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A 49 year old woman was referred to UPMC for curative treatment of atrial fibrillation in the form of pulmonary vein isolation.
She had a history of:
The patient was obese but otherwise in good health with a BMI of 46.1.
By transesophageal echocardiography, she had:
Figure 1: Transesophageal echocardiography
The CT scan of her chest (figure 2) showed normal pulmonary venous anatomy with a right intermediate pulmonary vein emptying ostially into the right superior pulmonary vein.
Figure 2: CT scan
The patient was taken into the lab and underwent trans-septal left atrial catheterization under intracardiac echocardiographic guidance.
She underwent pulmonary vein isolation using the 23 mm Arctic Front cryoballoon catheter (figure 3).
Figure 3: Cryoballoon catheter deployment
At the end of the procedure, all four pulmonary veins were completely isolated.
She was restated on her anticoagulation with Coumadin® and was discharged home as soon as her anticoagulation was therapeutic.
© 2011 UPMC