Fontan姑息治疗中房颤的脉冲场消融
Pulsed Field Ablation for Atrial Fibrillation in Fontan Palliation.
作者信息
Khalil Fouad, Deshmukh Abhishek J, Tsai Shane T
机构信息
Department of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
出版信息
J Cardiovasc Electrophysiol. 2025 Sep;36(9):2437-2439. doi: 10.1111/jce.16795. Epub 2025 Jul 9.
INTRODUCTION
Pulsed-field ablation (PFA) is a novel and effective modality for ablation in patients with atrial fibrillation (AF). Available case reports and small series showed promising results in patients with congenital heart disease. However, PFA ablation in Fontan patients has not been reported yet.
METHODS AND RESULTS
We present a 35-year-old patient with a history of Fontan palliation for hypoplastic left heart who underwent successful ablation for AF with PFA. We describe procedure characteristics and illustrate the potential benefits of PFA in this patient population.
CONCLUSION
We present a case of PFA for AF in Fontan palliation. PFA was feasible and successful in our case. Long-term outcomes are yet to be determined.
引言
脉冲场消融（PFA）是一种用于心房颤动（AF）患者消融的新型有效方法。现有的病例报告和小样本系列研究显示，该方法在先天性心脏病患者中取得了令人鼓舞的结果。然而，尚未有关于Fontan手术患者进行PFA消融的报道。
方法与结果
我们报告了一名35岁、有左心发育不全Fontan姑息手术史的患者，其接受PFA成功消融房颤。我们描述了手术特点，并阐述了PFA在该患者群体中的潜在益处。
结论
我们报告了一例Fontan姑息手术患者行PFA治疗房颤的病例。在我们的病例中，PFA是可行且成功的。长期结果尚待确定。
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