title: Left main coronary thrombosis: unusual complication after radiofrequency ablation of left accessory atrioventricular pathway.
abstract: Radiofrequency ablation (RFA) has established itself as a first-line therapy for the curative treatment of many patients with supraventricular or atrioventricular tachycardias and has exhibited a generally low incidence of serious sequelae (N Engl J Med. 1991;324:1612; Lancet. 1991;337:1557). Coronary artery injury is a rare complication. We present a patient with an acute thrombotic total occlusion of the left main coronary artery immediately after the end of RFA who was successfully treated with emergency percutaneous transluminal coronary angioplasty. This case illustrates an unusual coronary complication of RFA and serves as an exceptional example of survival with a good short-term prognosis after this unusual etiology of myocardial infarction.
authors.affiliation: Cardiology Department, University Hospital Hedi Chaker, Sfax, Tunisia. ilyeskharrat1@yahoo.fr
authors.forename: Ilyes
authors.initials: I
authors.lastname: Kharrat
authors.forename: Hanene
authors.initials: H
authors.lastname: Charfeddine
authors.forename: Mohamed
authors.initials: M
authors.lastname: Sahnoun
authors.forename: Sofiene
authors.initials: S
authors.lastname: Rekik
authors.forename: Salma
authors.initials: S
authors.lastname: Krichen
authors.forename: Mourad
authors.initials: M
authors.lastname: Hentati
authors.forename: Samir
authors.initials: S
authors.lastname: Kammoun
mesh_terms: D000328:Adult; D001283:Atrioventricular Node / Q000002:abnormalities* / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects*; D003328:Coronary Thrombosis / Q000175:diagnosis / Q000209:etiology*; D004562:Electrocardiography / Q000379:methods; D005260:Female; D006801:Humans; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000150:complications / Q000601:surgery*