Coronary artery spasm during radiofrequency ablation of a left lateral accessory pathway.
A 16-year-old female patient with Wolff-Parkinson-White syndrome and supraventricular tachycardia underwent radiofrequency (RF) catheter ablation of an accessory pathway in the left lateral area. During RF ablation she developed reversible ST segment elevation secondary to coronary artery spasm. Coronary angiography demonstrated the ablation catheter in close proximity to the circumflex coronary artery, with no evidence of coronary artery injury. Subsequently, conduction by way of the accessory pathway was successfully eliminated with cryoablation with no further coronary spasm or injury.
Department of Pediatric Cardiology, Morgan Stanley Children's Hospital New York-Presbyterian, Columbia University, New York, NY, USA. david.spar@gmail.com
David S
DS
Spar
Eric S
ES
Silver
Allan J
AJ
Hordof
Alejandro
A
Torres
Leonardo
L
Liberman
D000293:Adolescent; D017115:Catheter Ablation / Q000009:adverse effects*; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006329:Heart Conduction System / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D013617:Tachycardia, Supraventricular / Q000503:physiopathology / Q000601:surgery*; D014927:Wolff-Parkinson-White Syndrome / Q000503:physiopathology / Q000601:surgery*