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Updated: Jun 10, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

Emergency bypass post percutaneous atrial ablation: a case report.

M Hargrove¹, C B Marshall, S Jahanjir

¹Cardiothoracic Surgery Unit, Cork University Hospital, Wilton, Cork, Ireland. Martin.Hargrove@hse.ie

|August 12, 2010

Summary

This case report details a rare complication following atrial ablation for paroxysmal atrial fibrillation, where emergency sternotomy was required due to cardiac tamponade. It highlights the importance of cardiothoracic team notification during ablation procedures.

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Last Updated: Jun 10, 2026

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Area of Science:

Cardiology
Cardiac Surgery

Background:

Percutaneous atrial ablation is a common procedure for treating paroxysmal atrial fibrillation.
Patients undergoing ablation are often on anticoagulation and antiplatelet therapy, increasing bleeding risk.

Observation:

A 34-year-old male developed cardiac tamponade post-atrial ablation, necessitating emergency sternotomy.
Initial sternotomy did not reveal a visible bleeding source; cardiopulmonary bypass was initiated.
The bleeding site was identified and closed, with the patient recovering uneventfully.

Findings:

This case represents a rare instance of post-ablation bleeding requiring reoperation and cardiopulmonary bypass.
Literature review indicates a 1% incidence of post-ablation bleeding, but reoperation rates are not previously reported.

Implications:

Cardiothoracic surgical teams should be alerted during atrial ablation procedures due to the potential for severe bleeding complications.
Proactive communication between interventional cardiology and cardiothoracic surgery may improve patient outcomes in emergent situations.