A complex atrial fibrillation/flutter case from the Hôpital Cardiologique Haut-Lévêque in Bordeaux-Pessac, France that was performed in April 2010. Professor Pierre Jaïs takes the viewer through the clinical history of the patient and the treatment strategy followed in Bordeaux. In the next fifteen minutes, the key moments from the five-and-a-half-hour procedure are highlighted and the treatment progress is described.
Prof. Jaïs and visiting professor, Dr Michael Orlov from Caritas St Elisabeth Medical Center in Boston, USA, provide voiceover comments to illustrate the steps in the procedure and the observed electrograms. After several applications and re-applications of RF energy, roofline block was finally obtained and sustained. The patient was still free of symptoms after three-month follow-up.
Due to the complex nature, this clinical case is provided in two versions:
Expert - contains all the events of the case as they happened. This version is harder to understand as the sequence of events is sometimes very complicated as a result of reconduction of ablated lines.
Standard (shown here) - redirected by Professor Jaïs himself and shows a more logical, if not entirely historically accurate, representation of the procedure.