Mechanical reperfusion of acute right coronary artery occlusion after radiofrequency catheter ablation and long-term follow-up angiography.
Coronary artery injury is a rare complication of radiofrequency catheter ablation. We describe the case of a 12-year-old girl who had an acute distal right coronary artery (RCA) occlusion during radiofrequency catheter ablation of a postero-septal accessory pathway treated with mechanical reperfusion utilizing an angioplasty guidewire. Coronary angiography performed at 1-year follow-up depicted normal left ventricular function, patent descending posterior artery and total occlusion of the postero-lateral branch, which was filled through a rich collateral circulation from the RCA marginal branch.
de Paola
Angelo A
AA
Federal University of São Paulo - Paulista School of Medicine, Brazil.
Leite
Luiz R
LR
Arfelli
Elerson
E
D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D001158:Arteries / Q000293:injuries* / Q000601:surgery*; D017115:Catheter Ablation; D002648:Child; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015425:Myocardial Reperfusion; D013995:Time