A Tight Spot After Pulmonary Vein Catheter Ablation.

Rabia Amir,Lu Yeh,Mario Montealegre-Gallegos,Rabya Saraf,Robina Matyal,Feroze Mahmood

Journal of cardiothoracic and vascular anesthesia（2016）

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摘要

A 52-YEAR-OLD woman with a history of embolic stroke due to paroxysmal atrial fibrillation was referred to the authors’ institution for epicardial surgical pulmonary vein isolation with left atrial appendage resection. The patient had 2 previous failed pulmonary vein catheter ablations. Dense fibrous tissue surrounding the left upper pulmonary vein was seen during surgery. Transesophageal echocardiography revealed the following image (Fig 1). What is the diagnosis?

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