Iatrogenic atrial septal defect with right-to-left shunt following atrial fibrillation ablation in a patient with arrhythmogenic right ventricular cardiomyopathy

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Presentation transcript:

Iatrogenic atrial septal defect with right-to-left shunt following atrial fibrillation ablation in a patient with arrhythmogenic right ventricular cardiomyopathy Adam Lee, MBBS, MMed (Clin Epi), Vaikom S. Mahadevan, MD, Edward P. Gerstenfeld, MD, FHRS HeartRhythm Case Reports Volume 4, Issue 4, Pages 159-162 (April 2018) DOI: 10.1016/j.hrcr.2017.11.013 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 A, B: Color flow (A) and continuous wave Doppler (B) during transesophageal echocardiography demonstrating right-to-left shunting across the iatrogenic atrial septal defect (ASD), continuous throughout the cardiac cycle. C: Final position of ASD occlusion (orange arrow) device across the interatrial septum. HeartRhythm Case Reports 2018 4, 159-162DOI: (10.1016/j.hrcr.2017.11.013) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 A: Right anterior oblique 30° left anterior oblique 30° fluoroscopy view demonstrating insufflation of the sizing balloon across the atrial septal defect (ASD). This resulted in normalization of systemic oxygen saturation. B: Final position of ASD occluder (orange arrow). HeartRhythm Case Reports 2018 4, 159-162DOI: (10.1016/j.hrcr.2017.11.013) Copyright © 2017 Heart Rhythm Society Terms and Conditions