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Updated: Sep 16, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Pulsed Field Ablation for Atrial Fibrillation in Fontan Palliation
Fouad Khalil1, Abhishek J Deshmukh2, Shane T Tsai1
1Department of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Introduction:
Pulsed-field ablation (PFA) is a novel and effective modality for ablation in patients with atrial fibrillation (AF). Available case reports and small series showed promising results in patients with congenital heart disease. However, PFA ablation in Fontan patients has not been reported yet.
Methods And Results:
We present a 35-year-old patient with a history of Fontan palliation for hypoplastic left heart who underwent successful ablation for AF with PFA. We describe procedure characteristics and illustrate the potential benefits of PFA in this patient population.
Conclusion:
We present a case of PFA for AF in Fontan palliation. PFA was feasible and successful in our case. Long-term outcomes are yet to be determined.

