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Europace 2008 10(2):215-217; doi:10.1093/europace/eun006
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

ABLATION FOR ATRIAL FIBRILLATION

Septic vegetation at the left atrial appendage entrance after pulmonary vein ablation for atrial fibrillation

Sebastian Weis*, Christopher Piorkowski, Arash Arya and Andreas Bollmann

Department of Electrophysiology, Leipzig University Heart Center, Struempellstrasse 39, D-04289 Leipzig, Germany

Pulmonary vein (PV) ablation is increasingly used to treat highly symptomatic atrial fibrillation. Here, we present a case of infective endocarditis (IE) after PV ablation at the uncommon position of the left atrial appendage entrance. We conclude that iatrogenic intracardial manipulation may create predisposing lesions for IE.

Key Words: Atrial fibrillation, Pulmonary vein ablation, Complication, Infective endocarditis

* Corresponding author. Tel: +49 341 865 14 13; fax: +49 341 865 17 65. E-mail address: sebweis{at}hotmail.com

Manuscript submitted 24 November 2007. Accepted after revision 2 January 2008.


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