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Right atrial perforation at the end of an atrial fibrillation ablation procedure.

Abstract
A 74-year-old man with chronic atrial fibrillation underwent ablation under conscious sedation. After sheath removal from the left atrium, the patient flexed his thighs, resulting in a 'foetal position' developing tamponade due to an right atrial (RA) appendage perforation from sheath migration. This illustrates the importance of close monitoring during sedation weaning, recommending removal of all sheaths prior to sedation withdrawal.
AuthorsGaston R Vergara, Lori McMullan, Nassir F Marrouche
JournalEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology (Europace) Vol. 13 Issue 6 Pg. 901-2 (Jun 2011) ISSN: 1532-2092 [Electronic] England
PMID21296773 (Publication Type: Case Reports, Journal Article)
Topics
  • Aged
  • Atrial Appendage (injuries, surgery)
  • Atrial Fibrillation (surgery)
  • Cardiac Surgical Procedures
  • Catheter Ablation (adverse effects)
  • Conscious Sedation
  • Device Removal
  • Heart Atria (injuries, surgery)
  • Heart Injuries (etiology, surgery)
  • Humans
  • Male
  • Medical Errors
  • Restraint, Physical
  • Treatment Outcome

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