Pacemaker implantation in a patient with paroxysmal atrial fibrillation and left pneumonectomy

Paroxysmal atrial fibrillation is a common occurrence in patients following thoracic surgery and in some patients remains refractory to medical therapy. New pacemaker devices are available with atrial preventative and termination pacing algorithms designed to reduce arrhythmia recurrences. This report describes the implantation of such a device in a patient following pneumonectomy and the subsequent effect on atrial arrhythmia burden.