You have a progressive heart condition that may have advanced. Your heart is changing with time, which means new routes for the spurious electrical signals. Those can be fixed with a second, even a third ablation. Some people have five and six ablations....BUT....the key is to pick the right electrophysiologist to do it. You want a very busy, high-demand, EP whom you may have to wait to see for a few months, but it will be worth it.

I can't stress enough that you need the best EP around, even if you have to fly to get the treatment. I have read of people being ablated by the chief of electrophysiology teaching other EPs, but whose own track records are terrible. You want to find one of the top 20 EPs in the country and enlist that person's advice and aid.

Should you have a second ablation? Yes, absolutely, YES! But make darned good 'n sure the person doing it has a plan, knows where the problem lies with you and your first failure, and then place yourself in that person's hands. If that doesn't work, go for at least one other round of ablation. Almost everyone finds that their touch-up second ablation works. If you have the funds, try Dr. Andrea Natale at the TCAI in Austin, TX.