Aorto-right atrial fistula: a rare complication of trans-septal puncture and catheter ablation for atrial fibrillation.

A 43-year-old woman was referred to our medical centre in the setting of persistent tachyarrhythmias. She had undergone multiple catheter ablation procedures at her local medical institution, one of which resulted in an iatrogenic injury of her ascending aorta during a trans-septal puncture. Her procedural records suggested that the catheter was inadvertently advanced …