{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T14:10:03Z","timestamp":1764857403460,"version":"3.46.0"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Cardiovasc Imaging"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We describe the case of a 31-year-old male with incessant left atrial appendage tachycardia and resultant severe left ventricular systolic dysfunction. Despite medical therapy, catheter ablation and surgical excision of the left atrial appendage with the AtriClip device, the tachycardia persistent. Following detailed multimodality workup including computational modelling with recreation of virtual implantation scenarios, the tachycardia was eventually terminated with pulsed field ablation and percutaneous left atrial appendage occlusion.<\/jats:p>","DOI":"10.1007\/s10554-025-03544-1","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T05:21:52Z","timestamp":1761196912000},"page":"2493-2497","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous left atrial appendage occlusion following failed surgical ligation for incessant left atrial appendage tachycardia: key role of multimodality imaging"],"prefix":"10.1007","volume":"41","author":[{"given":"Joseph","family":"Okafor","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulla","family":"Mohammed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Balrik","family":"Kailey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfa","family":"Ali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prapakaran","family":"Kanagaratnam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Casula","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bushra","family":"Rana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,23]]},"reference":[{"key":"3544_CR1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaccas.2024.102375","author":"Y Melman","year":"2024","unstructured":"Melman Y, Lindley E, Kashyap A, Alharethi R, Smit P, Gutteridge D, Palatinus J, Oesterling A (2024) Incessant atrial tachycardia from the left atrial appendage treated with appendage ligation. JACC: Case Reports. https:\/\/doi.org\/10.1016\/j.jaccas.2024.102375","journal-title":"JACC: Case Reports"},{"issue":"2","key":"3544_CR2","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1093\/europace\/eur302","volume":"14","author":"Q Yang","year":"2012","unstructured":"Yang Q, Ma J, Zhang S, Hu JQ, Liao ZL (2012) Focal atrial tachycardia originating from the distal portion of the left atrial appendage: characteristics and long-term outcomes of radiofrequency ablation. Europace 14(2):254\u2013260. https:\/\/doi.org\/10.1093\/europace\/eur302","journal-title":"Europace"},{"key":"3544_CR3","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000310","author":"RL Page","year":"2016","unstructured":"Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM (2016) 2015 ACC\/AHA\/HRS guideline for the management of adult patients with supraventricular tachycardia: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation 133(14):e471\u2013e505. https:\/\/doi.org\/10.1161\/CIR.0000000000000310"},{"issue":"1","key":"3544_CR4","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.jccase.2020.08.011","volume":"23","author":"Y Okubo","year":"2020","unstructured":"Okubo Y, Kinoshita H, Takahashi S, Nakano Y (2020) Thoracoscopic stand-alone appendectomy for atrial tachycardia originating from the left atrial appendage in a patient with severe left ventricular dysfunction. J Cardiol Cases 23(1):20\u201323. https:\/\/doi.org\/10.1016\/j.jccase.2020.08.011","journal-title":"J Cardiol Cases"},{"issue":"4","key":"3544_CR5","doi-asserted-by":"publisher","first-page":"180","DOI":"10.4103\/IJCA.IJCA_28_20","volume":"6","author":"T Adademir","year":"2020","unstructured":"Adademir T, Akgun T, Zengin A, Kepez A, Kirali K (2020) Surgical treatment of atrial tachycardia arising from left atrial appendage. Int J Cardiovasc Acad 6(4):180\u2013182. https:\/\/doi.org\/10.4103\/IJCA.IJCA_28_20","journal-title":"Int J Cardiovasc Acad"},{"issue":"1","key":"3544_CR6","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.hrthm.2013.10.017","volume":"11","author":"XG Guo","year":"2014","unstructured":"Guo XG, Zhang JL, Ma J, Jia YH, Zheng Z, Wang HY, Su X, Zhang S (2014) Management of focal atrial tachycardias originating from the atrial appendage with the combination of radiofrequency catheter ablation and minimally invasive atrial appendectomy. Heart Rhythm 11(1):17\u201325. https:\/\/doi.org\/10.1016\/j.hrthm.2013.10.017","journal-title":"Heart Rhythm"},{"issue":"14","key":"3544_CR7","doi-asserted-by":"publisher","first-page":"1575","DOI":"10.1161\/CIRCULATIONAHA.110.005652","volume":"123","author":"S Benussi","year":"2011","unstructured":"Benussi S, Mazzone P, Maccabelli G, Vergara P, Grimaldi A, Pozzoli A, Spagnolo P, Alfieri O, Della Bella P (2011) Thoracoscopic appendage exclusion with an atriclip device as a solo treatment for focal atrial tachycardia. Circulation 123(14):1575\u20131578. https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.110.005652","journal-title":"Circulation"},{"issue":"8","key":"3544_CR8","doi-asserted-by":"publisher","first-page":"1215","DOI":"10.1016\/j.hlc.2024.02.010","volume":"33","author":"E Wang","year":"2024","unstructured":"Wang E, Sadleir P, Sourinathan V, Weerasooriya R, Playford D, Joshi P (2024) Thoracoscopic left atrial appendage occlusion with the atriclip PRO2: an experience of 144 patients. Heart Lung Circ 33(8):1215\u20131220. https:\/\/doi.org\/10.1016\/j.hlc.2024.02.010","journal-title":"Heart Lung Circ"}],"container-title":["The International Journal of Cardiovascular Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10554-025-03544-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10554-025-03544-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10554-025-03544-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T14:05:00Z","timestamp":1764857100000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10554-025-03544-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,23]]},"references-count":8,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3544"],"URL":"https:\/\/doi.org\/10.1007\/s10554-025-03544-1","relation":{"references":[{"id-type":"doi","id":"10.1161\/CIR.0000000000000310","asserted-by":"subject"}]},"ISSN":["1875-8312"],"issn-type":[{"type":"electronic","value":"1875-8312"}],"subject":[],"published":{"date-parts":[[2025,10,23]]},"assertion":[{"value":"26 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no relevant financial or non-financial interests to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"This is a case report. The XYZ Research Ethics Committee has confirmed that no ethical approval is required.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The authors affirm that human research participant provided informed consent for publication of all data and figures.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}}]}}