The Disadvantage of an Out of Time Contraction: When Left Atrial Appendage Plays a Role in Hemodynamic Balance Worsening

Case Report

Volume 3, Issue 1

The Disadvantage of an Out of Time Contraction: When Left Atrial Appendage Plays a Role in Hemodynamic Balance Worsening

F. Troisi^1*, F. Quadrini¹, A. Di Monaco^1,2, R. Caruso¹, R. Orfino¹ and M. Grimaldi¹

¹Cardiology Department, Regional General Hospital “F. Miulli”, Acquaviva delle Fonti, Bari, Italy

²Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy

^*Corresponding author: Federica Troisi, Cardiology Department, Regional General Hospital “F. Miulli”, Acquaviva delle Fonti, 70021 Bari, Italy.

Received: November 22, 2022; Accepted: December 10, 2022; Published: January 15, 2023

Citation: Troisi F, Quadrini F, Di Monaco A, et al. The Disadvantage of an Out of Time Contraction: When Left Atrial Appendage Plays a Role in Hemodynamic Balance Worsening. Case Rep Clin Cardiol J. 2023; 3(1): 119.

Download PDF

The Disadvantage of an Out of Time Contraction: When Left Atrial Appendage Plays a Role in Hemodynamic Balance Worsening

Abstract

A 55-year-old woman with history of AF underwent a second AF ablation in our Center because of arrhythmia recurrence and increasing dyspnea (NYHA class III). During electroanatomical mapping we found an extensive atrial fibrosis, a very late left atrial appendage potential and a high left atrial pressure. Left atrial appendage electrical isolation was performed, obtaining a significant reduction in left atrial pressure. At one and three month follow up patient improved functional capacity (NYHA class II), maintaining sinus rhythm.

Keywords: Severe atrial fibrosis can lead to hemodynamics worsening; The importance of the timing of LAAA contraction

Article Details

The Disadvantage of an Out of Time Contraction: When Left Atrial Appendage Plays a Role in Hemodynamic Balance Worsening