Key result
Surgical repair combined with epicardial atrial fibrillation ablation and left atrial appendage amputation successfully managed catheter-induced cardiac tamponade, with no AF recurrence at 1 year.
Why the study?
Early recognition and rapid, appropriate treatment of cardiac tamponade are mandatory to prevent irreversible deterioration of cerebral and vital organ perfusion.
Case Report (n=1)
No
Surgical repair of catheter-induced cardiac tamponade can be safely combined with epicardial atrial fibrillation ablation and left atrial appendage amputation.
Early recognition and rapid and appropriate treatment of cardiac tamponade are mandatory to prevent the irreversible deterioration of cerebral perfusion and other important organs. In this study, cardiac tamponade was induced by inadvertent transseptal puncture, which was managed with pericardial drainage and surgical repair in a patient with symptomatic paroxysmal atrial fibrillation. Epicardial atrial fibrillation ablation and left atrial appendage amputation were also performed at the same time.
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Shi et al. (2020) conducted a case report in Symptomatic paroxysmal atrial fibrillation and catheter-induced cardiac tamponade (n=1). Pericardial drainage, surgical repair, epicardial AF ablation, and left atrial appendage amputation was evaluated on Clinical recovery and recurrence of atrial fibrillation. Surgical repair combined with epicardial atrial fibrillation ablation and left atrial appendage amputation successfully managed catheter-induced cardiac tamponade, with no AF recurrence at 1 year.
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