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Transatrial management of inadvertent puncture of the posterior wall during transseptal access for atrial fibrillation ablation -- Case report
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  • Muhieddine Chokr,
  • Ítalo Sousa,
  • Tamer El Andere,
  • Luiz Fernando de Gouvea Filho,
  • Mauricio Ibrahim Scanavacca
Muhieddine Chokr
Universidade de Sao Paulo Instituto do Coracao
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Ítalo Sousa
Universidade de Sao Paulo Instituto do Coracao
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Tamer El Andere
Universidade de São Paulo Instituto do Coração

Corresponding Author:tamer_el_andere@hotmail.com

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Luiz Fernando de Gouvea Filho
Universidade de São Paulo Instituto do Coração
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Mauricio Ibrahim Scanavacca
Universidade de São Paulo Instituto do Coração
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Abstract

Transseptal puncture for atrial fibrillation ablation is a safe and common procedure, however, complications, such as cardiac tamponade, are possibly fatal if not recognized and treated. Our goal is to report a case in which management of an inadvertent puncture of the posterior wall of the left atrium was accomplished using an unusual technique, followed by successful pulmonary vein isolation, and without the need of subsequent subxiphoid puncture.