Pulmonary vein isolation in a patient with achalasia and megaesophagus

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Pulmonary vein isolation in a patient with achalasia and megaesophagus Zack Dale, MD, Babak Nazer, MD HeartRhythm Case Reports DOI: 10.1016/j.hrcr.2019.07.012 Copyright © 2019 Terms and Conditions

Figure 1 Preprocedure computed tomography venogram axial view at the level of the left atrium demonstrating a dilated and debris-filled esophagus measuring approximately 4.8 × 3.3 cm (measurements indicated) with abutment and mass effect onto the left atrium. HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2019.07.012) Copyright © 2019 Terms and Conditions

Figure 2 Intraprocedure fluoroscopy images demonstrating the multisensor temperature probe in position within the esophagus. The ablation catheter is seen at the ostia of the right superior pulmonary veins (RSPV) and right inferior pulmonary vein (RIPV). LAO = left anterior oblique; RAO = right anterior oblique. HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2019.07.012) Copyright © 2019 Terms and Conditions