Coronary artery occlusion following low-power catheter ablation

Autor:	Hameem Changezi, Sakiru Isa, Mustafa Hassan, Mahin Khan
Rok vydání:	2020
Předmět:	lcsh:Internal medicine medicine.medical_specialty Coronary artery occlusion medicine.medical_treatment infarction Infarction Case Report Catheter ablation occlusion Ablation 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine Occlusion Internal Medicine medicine cardiovascular diseases 030212 general & internal medicine Myocardial infarction lcsh:RC31-1245 coronary business.industry myocardial medicine.disease cardiovascular system Cardiology Complication business
Zdroj:	Journal of Community Hospital Internal Medicine Perspectives article-version (VoR) Version of Record Journal of Community Hospital Internal Medicine Perspectives, Vol 10, Iss 4, Pp 358-360 (2020)
ISSN:	2000-9666
DOI:	10.1080/20009666.2020.1780677
Popis:	Myocardial infarction (MI) is an unusual but potentially serious complication of catheter ablation procedures. This case describes the occurrence of acute myocardial infarction following low-power ablation in a young patient and highlights the importance of maintaining high index of suspicion following catheter ablation irrespective of the ablation power used. A 22-year-old patient had low-power ablation of the right posteroseptal accessory pathway in the ostium of the coronary sinus on account of persistently symptomatic WPW syndrome with orthodromic re-entrant tachycardia. Two hours after the procedure, she developed moderately severe chest pain. Electrocardiogram showed ST elevation in the inferior leads. Coronary angiography showed 100% stenosis of the right coronary artery just beyond the posterior descending artery. She failed balloon angioplasty and a drug eluting stent was placed in the posterolateral branch of the right coronary artery. The symptoms resolved and follow up echocardiogram showed normal left ventricular systolic and diastolic functions with no regional wall motion abnormality. This case demonstrates the occurrence of MI following low-power catheter ablation. Patients should be monitored for this complication irrespective of the ablation power used.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::54f42eb646798ef651bb441d227a754c https://doi.org/10.1080/20009666.2020.1780677 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.