Multiple Coronary Arteries to Left Atrial Fistulae: An Uncommon Complication of Radiofrequency Ablation for Atrial Fibrillation
Abstract A 64-year-old man had undergone catheter radiofrequency ablation (RFA) 3 times in the previous 3 years because of recurrent symptomatic atrial fibrillation. Five months after the third RFA procedure, unusually colored Doppler flows that drained into the left atrium (LA) were newly identifie...
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Veröffentlicht in: | Canadian journal of cardiology 2015-08, Vol.31 (8), p.1073.e9-1073.e11 |
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container_title | Canadian journal of cardiology |
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creator | Jang, Ji-Yong, MD Shim, Chi Young, MD, PhD Pak, Hui-Nam, MD, PhD |
description | Abstract A 64-year-old man had undergone catheter radiofrequency ablation (RFA) 3 times in the previous 3 years because of recurrent symptomatic atrial fibrillation. Five months after the third RFA procedure, unusually colored Doppler flows that drained into the left atrium (LA) were newly identified. Coronary computed tomographic angiography indicated the presence of multiple small fistulae reaching from the right and left circumflex coronary arteries to the LA, and this was confirmed using coronary angiography. This case shows that the multiple RFA procedures induced coronary neovascularization and fistulae formation after ischemic injuries to the LA. |
doi_str_mv | 10.1016/j.cjca.2015.03.027 |
format | Article |
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Five months after the third RFA procedure, unusually colored Doppler flows that drained into the left atrium (LA) were newly identified. Coronary computed tomographic angiography indicated the presence of multiple small fistulae reaching from the right and left circumflex coronary arteries to the LA, and this was confirmed using coronary angiography. This case shows that the multiple RFA procedures induced coronary neovascularization and fistulae formation after ischemic injuries to the LA.</description><identifier>ISSN: 0828-282X</identifier><identifier>EISSN: 1916-7075</identifier><identifier>DOI: 10.1016/j.cjca.2015.03.027</identifier><identifier>PMID: 26118452</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Atrial Fibrillation - surgery ; Cardiovascular ; Catheter Ablation - adverse effects ; Coronary Angiography ; Diagnosis, Differential ; Echocardiography, Doppler, Color ; Fistula - diagnosis ; Fistula - etiology ; Heart Atria ; Heart Diseases - diagnosis ; Heart Diseases - etiology ; Humans ; Male ; Middle Aged ; Postoperative Complications ; Vascular Fistula - diagnosis ; Vascular Fistula - etiology</subject><ispartof>Canadian journal of cardiology, 2015-08, Vol.31 (8), p.1073.e9-1073.e11</ispartof><rights>Canadian Cardiovascular Society</rights><rights>2015 Canadian Cardiovascular Society</rights><rights>Copyright © 2015 Canadian Cardiovascular Society. 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Five months after the third RFA procedure, unusually colored Doppler flows that drained into the left atrium (LA) were newly identified. Coronary computed tomographic angiography indicated the presence of multiple small fistulae reaching from the right and left circumflex coronary arteries to the LA, and this was confirmed using coronary angiography. This case shows that the multiple RFA procedures induced coronary neovascularization and fistulae formation after ischemic injuries to the LA.</description><subject>Atrial Fibrillation - surgery</subject><subject>Cardiovascular</subject><subject>Catheter Ablation - adverse effects</subject><subject>Coronary Angiography</subject><subject>Diagnosis, Differential</subject><subject>Echocardiography, Doppler, Color</subject><subject>Fistula - diagnosis</subject><subject>Fistula - etiology</subject><subject>Heart Atria</subject><subject>Heart Diseases - diagnosis</subject><subject>Heart Diseases - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Vascular Fistula - diagnosis</subject><subject>Vascular Fistula - etiology</subject><issn>0828-282X</issn><issn>1916-7075</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc-KFDEQxoMo7rj6Ah6kj166zZ_uJCMiDIOrwoigLngL6XQF0qY7Y5IW9uaj-Cw-mWl63YMHT0VR3_dR9SuEnhLcEEz4i7Exo9ENxaRrMGswFffQjuwJrwUW3X20w5LKmkr69QI9SmnEuCVC8IfognJCZNvRHfr5YfHZnT1UxxDDrONNdYgZooNU5VCdwObqkKPTvrpyKS9ew8vqMFfXswnTFOZim87eGZ1daYKtPunBBRvh-wKzKWG930Y2xN-_7pL66Pw2eIweWO0TPLmtl-j66s2X47v69PHt--PhVJuW0VzT3ooegArZYc2lNRgD5cCZ3sueWYoHZrXtZWeBUWKZIUJq3nKpmbCYtewSPd9yzzGU3VJWk0sGyhYzhCUpwvf7dl-I0SKlm9TEkFIEq87RTQWNIlit5NWoVvJqJa8wU4V8MT27zV_6CYY7y1_URfBqE0C58oeDqJJxhREMLoLJagju__mv_7Eb7-YC3n-DG0hjWOJc-CmiElVYfV5_v76edBjTthPsD6ZfrCU</recordid><startdate>20150801</startdate><enddate>20150801</enddate><creator>Jang, Ji-Yong, MD</creator><creator>Shim, Chi Young, MD, PhD</creator><creator>Pak, Hui-Nam, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2842-7500</orcidid></search><sort><creationdate>20150801</creationdate><title>Multiple Coronary Arteries to Left Atrial Fistulae: An Uncommon Complication of Radiofrequency Ablation for Atrial Fibrillation</title><author>Jang, Ji-Yong, MD ; Shim, Chi Young, MD, PhD ; Pak, Hui-Nam, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-2bf7bee27850a68fc00e26e63a98b3f20d3fafb85fe321f3c178a6468a37f0343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Atrial Fibrillation - surgery</topic><topic>Cardiovascular</topic><topic>Catheter Ablation - adverse effects</topic><topic>Coronary Angiography</topic><topic>Diagnosis, Differential</topic><topic>Echocardiography, Doppler, Color</topic><topic>Fistula - diagnosis</topic><topic>Fistula - etiology</topic><topic>Heart Atria</topic><topic>Heart Diseases - diagnosis</topic><topic>Heart Diseases - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><topic>Vascular Fistula - diagnosis</topic><topic>Vascular Fistula - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jang, Ji-Yong, MD</creatorcontrib><creatorcontrib>Shim, Chi Young, MD, PhD</creatorcontrib><creatorcontrib>Pak, Hui-Nam, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jang, Ji-Yong, MD</au><au>Shim, Chi Young, MD, PhD</au><au>Pak, Hui-Nam, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multiple Coronary Arteries to Left Atrial Fistulae: An Uncommon Complication of Radiofrequency Ablation for Atrial Fibrillation</atitle><jtitle>Canadian journal of cardiology</jtitle><addtitle>Can J Cardiol</addtitle><date>2015-08-01</date><risdate>2015</risdate><volume>31</volume><issue>8</issue><spage>1073.e9</spage><epage>1073.e11</epage><pages>1073.e9-1073.e11</pages><issn>0828-282X</issn><eissn>1916-7075</eissn><abstract>Abstract A 64-year-old man had undergone catheter radiofrequency ablation (RFA) 3 times in the previous 3 years because of recurrent symptomatic atrial fibrillation. Five months after the third RFA procedure, unusually colored Doppler flows that drained into the left atrium (LA) were newly identified. Coronary computed tomographic angiography indicated the presence of multiple small fistulae reaching from the right and left circumflex coronary arteries to the LA, and this was confirmed using coronary angiography. This case shows that the multiple RFA procedures induced coronary neovascularization and fistulae formation after ischemic injuries to the LA.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>26118452</pmid><doi>10.1016/j.cjca.2015.03.027</doi><orcidid>https://orcid.org/0000-0003-2842-7500</orcidid></addata></record> |
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subjects | Atrial Fibrillation - surgery Cardiovascular Catheter Ablation - adverse effects Coronary Angiography Diagnosis, Differential Echocardiography, Doppler, Color Fistula - diagnosis Fistula - etiology Heart Atria Heart Diseases - diagnosis Heart Diseases - etiology Humans Male Middle Aged Postoperative Complications Vascular Fistula - diagnosis Vascular Fistula - etiology |
title | Multiple Coronary Arteries to Left Atrial Fistulae: An Uncommon Complication of Radiofrequency Ablation for Atrial Fibrillation |
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