ArticleFrontiers in cardiovascular medicine2026
Case Report: Catheter ablation of atrial fibrillation in a patient with cor triatriatum sinistrum: the pivotal role of intracardiac echocardiography and electroanatomic mapping.
Article in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Cor triatriatum sinister (CTS) is a rare congenital cardiac anomaly that presents significant challenges for catheter ablation of atrial fibrillation (AF) due to its complex left atrial anatomy. We report the case of a 47-year-old man with persistent AF and CTS who successfully underwent radiofrequency catheter ablation. Intracardiac echocardiography was critical in guiding transseptal puncture and delineating the atrial chambers, while electroanatomic mapping revealed a high-voltage area rather than a low-voltage zone at the fibromuscular membrane. This case underscores the importance of advanced imaging and individualized ablation strategies in managing arrhythmias in structurally abnormal hearts.
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