Transverse shifting of the esophagus according to the patient’s position helped achieve a safe and successful pulmonary vein isolation procedure

Department of Cardiology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan.
Heart and Vessels (Impact Factor: 2.11). 08/2009; 24(4):317-9. DOI: 10.1007/s00380-008-1122-1
Source: PubMed

ABSTRACT Although the incidence of causing an atrioesophageal fistula during pulmonary vein isolation is very low, this type of injury results in a very high mortality rate. To prevent this complication, keeping a safe distance from the esophagus to the ablation lesion is a simple but safe method. We report a case in which we were able to shift the position of the esophagus by positioning the patient in a lateral posture in order to keep the esophagus at a safe distance from the pulmonary vein antrum, resulting in performance of a safe and successful pulmonary vein antrum isolation.

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Available from: Koichiro Ejima, Mar 30, 2014