Work

Pulmonary Veins, Posterior Wall, and Non–Pulmonary Vein Trigger Ablation in Persistent Atrial Fibrillation and Dextrocardia

Year: 2025

Type: article

Abstract: Persistent atrial fibrillation in patients with dextrocardia presents unique technical challenges due to reversed cardiac anatomy. We report a case of successful catheter ablation in a 68-year-old man with dextrocardia and long-standing persistent atrial fibrillation. Using multimodal imaging and high-density electroanatomic mapping, pulmonary vein isolation, posterior wall isolation, and non-pulmonary vein triggers ablation were performed, restoring stable sinus rhythm. The patient remained arrhythmia-free at 12 months. TAKE-HOME MESSAGE: Atrial fibrillation ablation in patients with dextrocardia requires a tailored approach that incorporates multimodality imaging to navigate complex anatomy safely and effectively.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.106508

Authors: Roberto Scacciavillani, Francesco Perna, Gianluca Comerci, Gemma Pelargonio

Institutions: Università Cattolica del Sacro Cuore, Agostino Gemelli University Polyclinic, Istituti di Ricovero e Cura a Carattere Scientifico

Language: English

Topic: Atrial Fibrillation Management and Outcomes

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850