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Iatrogenic atrial septal defect with right-to-left shunt following atrial fibrillation ablation in a patient with arrhythmogenic right ventricular cardiomyopathy 

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Presentation on theme: "Iatrogenic atrial septal defect with right-to-left shunt following atrial fibrillation ablation in a patient with arrhythmogenic right ventricular cardiomyopathy "— Presentation transcript:

1 Iatrogenic atrial septal defect with right-to-left shunt following atrial fibrillation ablation in a patient with arrhythmogenic right ventricular cardiomyopathy  Adam Lee, MBBS, MMed (Clin Epi), Vaikom S. Mahadevan, MD, Edward P. Gerstenfeld, MD, FHRS  HeartRhythm Case Reports  Volume 4, Issue 4, Pages (April 2018) DOI: /j.hrcr Copyright © 2017 Heart Rhythm Society Terms and Conditions

2 Figure 1 A, B: Color flow (A) and continuous wave Doppler (B) during transesophageal echocardiography demonstrating right-to-left shunting across the iatrogenic atrial septal defect (ASD), continuous throughout the cardiac cycle. C: Final position of ASD occlusion (orange arrow) device across the interatrial septum. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

3 Figure 2 A: Right anterior oblique 30° left anterior oblique 30° fluoroscopy view demonstrating insufflation of the sizing balloon across the atrial septal defect (ASD). This resulted in normalization of systemic oxygen saturation. B: Final position of ASD occluder (orange arrow). HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

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