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Wide area pulmonary vein circumferential ablation was performed in the left atrium (LA) via two transseptal punctures from the right femoral vein in a man with persistent atrial fibrillation. Post-procedure, warfarin was re-commenced with full anticoagulation with low molecular weight heparin until the international normalised ratio (INR) was > 2.0. There were no immediately apparent complications. Three months later he presented in …
The authors have no competing interests to disclose