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Pulmonary vein isolation (PVI) is an effective treatment for atrial fibrillation (AF), though non-pulmonary vein triggers such as the left atrial posterior wall (LAPW) are also important. Box-shaped PVI (box-PVI) addresses both pulmonary veins and LAPW, offering broader isolation. In patients with pectus excavatum (PE), left atrial compression may increase AF risk.
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