2025 AF Symposium: My First Report “Challenging Cases in AF Management and Stroke Prevention”
One of the most interesting sessions at the 2025 AF Symposium was the “Challenging Cases in AF Management and Stroke Prevention” on Saturday January 17 at 3:00 pm.
The panelists this year were:
The moderator was Dr. David Keane of St. Vincent’s Hospital, Dublin, Ireland
• Edward Gerstenfeld of the Un. of California (UCSF Health), San Francisco, CA
• Francis Marchlinski of the Un. of Pennsylvania Health System, Philadelphia, PA
• John Day of St. Mark’s Hospital, Salt Lake City, UT
• Isabel Diesenhofer of the German Heart Center Munich, Germany
• Young-Hoon Kim of the Korean University Medical Center, Seoul, Korea
Each doctor made a 7-minute presentation of their case followed by a 5-minute discussion.
This is the first of my reports on these Challenging Cases.
Case #1: Patient with Bronchial Lesion

Dr. Edward P. Gerstenfeld
Dr. Edward P. Gerstenfeld, chief of the UCSF Cardiac Electrophysiology and Arrhythmia Service, described the tragic case of a man in his 50s who had received a standard Pulmonary Vein Isolation (PVI) procedure.
He had cardiomyopathy [making it harder for the heart to pump blood] and was prescribed the antiarrhythmic drug amiodarone. The ablation appeared to go well without any particular problems. No additional roof or other ablation lines were added to the PVI.
ER Visits for Left Lung Problems
Over the following three weeks the patient had repeated Emergency Room visits, chest pain, cough, shortness of breath, fever, and headache. <Continue reading this report…>






