Surgical Excision of a Left Atrial Mobile Stalked Calcification Arising After Multiple Radiofrequency Ablations

Tadanori Nakata1, Naoyuki Miwa1, Yoshikazu Sato1

  • 1Department of Cardiology, Tsuchiura Kyodo Hospital, Tsuchiura, Japan.

JACC. Case Reports
|July 3, 2023
PubMed

Insights

A rare mobile ectopic calcification in the left atrium was surgically removed 9 years after multiple atrial fibrillation ablations. This case highlights a unique complication following cardiac procedures.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Electrophysiology

Background:

  • Atrial fibrillation ablations are common procedures for managing cardiac arrhythmias.
  • Complications, though rare, can occur years after electrophysiological interventions.
  • Ectopic calcifications are unusual findings in cardiac chambers.

Purpose of the Study:

  • To report a rare case of mobile ectopic calcification in the left atrium.
  • To describe the surgical management of this unusual cardiac mass.
  • To discuss potential implications for patients undergoing atrial fibrillation ablation.

Main Methods:

  • Case report of a patient with a mobile left atrial mass.
  • Diagnostic workup including imaging (e.g., echocardiography, CT).
  • Surgical excision of the calcification.

Main Results:

  • Identification of a mobile ectopic calcification within the left atrium.
  • Successful surgical removal of the mass.
  • Patient recovery following the procedure.

Conclusions:

  • Mobile ectopic calcification is a rare, late complication following atrial fibrillation ablation.
  • Surgical excision is a viable treatment option for symptomatic cardiac calcifications.
  • Awareness of such rare entities is crucial for cardiologists and surgeons.