Guiding Personalized Treatment for Atrial Arrhythmias Post-Lobectomy Through High-Density Mapping and CT Integration - Takeaways - MDSpire

Guiding Personalized Treatment for Atrial Arrhythmias Post-Lobectomy Through High-Density Mapping and CT Integration

  • By

  • Roberto Scacciavillani

  • Veronica Carmina

  • Maria Lucia Narducci

  • Gemma Pelargonio

  • January 14, 2026

  • 0 min

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  • 1

    Atrial fibrillation is common in patients with structural heart disease or post-thoracic surgery, often requiring catheter ablation for management.

  • 2

    The case involved a 64-year-old male with a history of lobectomy and persistent atrial flutter, necessitating radiofrequency catheter ablation.

  • 3

    Electroanatomic mapping revealed a macro-reentry circuit dependent on the cavo-tricuspid isthmus, which was successfully ablated.

  • 4

    CT imaging was integrated with electroanatomic mapping to enhance procedural accuracy in the complex postoperative anatomy.

  • 5

    Post-ablation, the patient maintained stable sinus rhythm and was discharged without complications, highlighting successful intervention.

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