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Thromboembolic Events Following Atrial Fibrillation Cardioversion and Ablation: What's the Culprit?


De Sensi, Francesco; Miracapillo, Gennaro; Addonisio, Luigi; Breschi, Marco; Cresti, Alberto; Baratta, Pasquale; Paneni, Francesco; Limbruno, Ugo (2019). Thromboembolic Events Following Atrial Fibrillation Cardioversion and Ablation: What's the Culprit? Medicina (Kaunas), 55(8):505.

Abstract

Stroke is a rare but possible complication after atrial fibrillation (AF) ablation. However, its etiopathogenesis is far from being completely characterized. Here we report a case of stroke, with recurrent peripheral embolism after AF ablation procedure. In our patient, an in situ femoral vein thrombosis and iatrogenic atrial septal defect were simultaneously detected. A comprehensive review of multiple pathophysiological mechanisms of stroke in this context is provided. The case underlines the importance of a global evaluation of patients undergoing AF ablation.

Abstract

Stroke is a rare but possible complication after atrial fibrillation (AF) ablation. However, its etiopathogenesis is far from being completely characterized. Here we report a case of stroke, with recurrent peripheral embolism after AF ablation procedure. In our patient, an in situ femoral vein thrombosis and iatrogenic atrial septal defect were simultaneously detected. A comprehensive review of multiple pathophysiological mechanisms of stroke in this context is provided. The case underlines the importance of a global evaluation of patients undergoing AF ablation.

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Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Center for Molecular Cardiology
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > General Medicine
Language:English
Date:20 August 2019
Deposited On:21 Jan 2020 12:35
Last Modified:22 Apr 2020 22:19
Publisher:Lithuanian Medical Association, Kaunas University of Medicine, Vilnius University
ISSN:1010-660X
OA Status:Gold
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.3390/medicina55080505
PubMed ID:31434315

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