Left anterior descending coronary artery occlusion after left lateral free wall accessory pathway ablation: what is the possible mechanism?
We describe a complication after radiofrequency (RF) ablation of a left free wall accessory pathway that resulted in acute occlusion of proximal left anterior descending (LAD) coronary artery in a 32-year-old male non-cocaine abuser. An interesting feature is the site of coronary artery occlusion which is remote from the RF application site. The RF energy applications were performed in the left lateral annulus remote from the LAD. The occlusion was successfully treated with placement of an intracoronary stent.
Dinckal
H
H
Department of Cardiology, Medical Faculty of Gaziantep University, Gaziantep, Turkey. mhdinckal@gantep.edu.tr
Yucel
O
O
Kirilmaz
A
A
Karaca
M
M
Kilicaslan
F
F
Dokumaci
B
B
D000328:Adult; D019917:Blood Vessel Prosthesis Implantation; D017115:Catheter Ablation / Q000009:adverse effects*; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D015607:Stents; D013617:Tachycardia, Supraventricular / Q000000981:diagnostic imaging / Q000601:surgery*