• Medicina · Aug 2019

    Case Reports

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

    • Francesco De Sensi, Gennaro Miracapillo, Luigi Addonisio, Marco Breschi, Alberto Cresti, Pasquale Baratta, Francesco Paneni, and Ugo Limbruno.
    • Cardiology Department, Misericordia Hospital, 58100 Grosseto, Italy. desensi_francesco@libero.it.
    • Medicina (Kaunas). 2019 Aug 20; 55 (8).

    AbstractStroke 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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