Left ventricular free wall perforation and left atrial dissection: unusual complication of radiofrequency catheter ablation for Wolf-Parkinson-White syndrome.
A 70-year-old woman with Wolf-Parkinson-White syndrome developed cardiac tamponade while undergoing radiofrequency catheter ablation for left posterolateral accessory pathway from the ventricular side below the mitral valve, requiring emergency surgery. During surgery, the patient was found to have perforation of the left posterior free wall as well as left atrial dissection. The patient died despite emergency measures. This case was remarkable because radiofrequency catheter ablation resulted in two very rare complications occurring at the same time in a patient.
Department of Cardiology, Okinawa Chubu Hospital, Uruma, Japan.
Kazuhito
K
Hirata
Department of Cardiology, Okinawa Chubu Hospital, Uruma, Japan.
Takanori
T
Takahashi
Department of Cardiovascular Surgery, Okinawa Chubu Hospital, Uruma, Japan.
Hiroshi
H
Yasumoto
Department of Cardiology, Shonan Hospital, Okinawa, Japan.
Tatsushi
T
Shinzato
D000368:Aged; D002305:Cardiac Tamponade / Q000209:etiology; D017115:Catheter Ablation / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006325:Heart Atria / Q000293:injuries*; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D014927:Wolff-Parkinson-White Syndrome / Q000601:surgery*