Successful stenting of a left main coronary artery occlusion as a complication of RF ablation for Wolff-Parkinson-White syndrome.
Wolff-Parkinson-White (WPW) syndrome is a disorder characterized by presence of an accessory pathway that predisposes patients to tachyarrhythmias and sudden death. Radiofrequency ablation (RFA) is both effective and safe for patients with symptomatic tachyarrhythmias mediated by accessory atrioventricular pathways. During the procedure, fatal complications may occur but it is considered low in relation to the morbidity associated with the WPW syndrome. Coronary artery occlusion, as a complication of an RF catheter ablation, is quite rare. In this report, we present a 56-year-old male patient with a left main coronary artery (LMCA) occlusion during the ablation of left anterolateral wall accessory pathway. It should be kept in mind if the patient complains of new onset of severe chest pain, an immediate angiography should be performed.
Yalin
Kivanc
K
Cardiology Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey. yalinkivanc@gmail.com
Golcuk
Ebru
E
Bilge
Ahmet Kaya
AK
Umman
Sabahattin
S
Adalet
Kamil
K
D058606:Accessory Atrioventricular Bundle / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D017115:Catheter Ablation / Q000009:adverse effects*; D023921:Coronary Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome; D014927:Wolff-Parkinson-White Syndrome / Q000175:diagnosis / Q000601:surgery*