Pulsed Field Ablation in a Rheumatic Heart Disease Patient With Mechanical Mitral and Tricuspid Valves.

Natee Deepan, Jervin Bisquera, Travis Fernandez, Alison Poppe, Pattara Rattanawong

Abstract readCase Reports

In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

First reported balloon-in-basket pulsed field ablation in a patient with long-standing persistent atrial fibrillation and a mechanical mitral valve prosthesis.Cardiology journal · 2026
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Natee DeepanBiochemistry, Faculty of Medicine, Chulalongkorn University, Bangkok, THA.

Jervin BisqueraCardiology, Pali Momi Medical Center, Hawaii Pacific Health, Honolulu, USA.

Travis FernandezElectrophysiology, Johnson and Johnson MedTech, Honolulu, USA.

Alison PoppeCardiology, Pali Momi Medical Center, Hawaii Pacific Health, Honolulu, USA.

Pattara RattanawongCardiology, Pali Momi Medical Center, Hawaii Pacific Health, Honolulu, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulsed field ablation (PFA) is a novel nonthermal modality for atrial fibrillation (AF) in patients with mechanical valves. We report the first successful PFA in a 44-year-old woman with both mechanical mitral and tricuspid valve replacements and a prior surgical maze procedure. Intracardiac echocardiography (ICE) and fluoroscopy-guided catheter navigation, avoiding prosthetic structures. Anatomical and voltage mapping revealed reconnection of prior surgical lines. PFA achieved isolation of the posterior wall, right pulmonary veins, inter-caval line, and cavotricuspid isthmus without complications. This case demonstrates the feasibility and safety of PFA in complex structural heart disease with dual mechanical valves.

Indexed as

atrial fib ablationmechanical heart valvespulsed-field ablationrheumatic valvular diseasesurgical replacement of valve

Identifiers

PMID41230304

DOI10.7759/cureus.94375

PMCPMC12603598

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.