Demonstrates the feasibility of performing pulmonary vein isolation in patients with altered cardiac anatomy due to prior pneumonectomy.
Hypothesis-generating for post-pneumonectomy AF ablation; larger prospective studies needed before clinical adoption.
We present a technically challenging case of pulmonary vein isolation (PVI) after complete left-sided pneumonectomy, resulting in uncommon cardiac rotation. Wide area circumferential PVI after pneumonectomy is technically challenging but feasible in experienced centres. Correct identification of the PV ostia is crucial before ablation.
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Konstantinidou et al. (2009) studied this question.
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