Atrial fibrillation ablation in a patient with absent pericardium

Vineet Kumar, Takumi Yamada, G. Neal Kay

Research output: Contribution to journalArticlepeer-review


A 45-year-old woman with drug-refractory paroxysmal atrial fibrillation (AF) underwent AF ablation. She had a history of abnormal chest radiograph, which on review was consistent with congenital absence of pericardium and this was later confirmed on cardiac magnetic resonance imaging. She had extreme leftward and posterior rotation of the heart, resulting in abnormal fluoroscopic appearance of the electrophysiological catheters and orientation of the interatrial septum. This along with exaggerated beat to beat motion of the heart posed significant technical challenges for the electrophysiologist during left atrial access and pulmonary vein isolation.

Original languageEnglish (US)
Pages (from-to)14-16
Number of pages3
JournalJournal of Atrial Fibrillation
Issue number1
StatePublished - Jun 2013
Externally publishedYes


  • Absent pericardium
  • Atrial fibrillation
  • Pulmonary vein isolation


Dive into the research topics of 'Atrial fibrillation ablation in a patient with absent pericardium'. Together they form a unique fingerprint.

Cite this