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
Hauptverfasser: Jang, Ji-Yong, MD, Shim, Chi Young, MD, PhD, Pak, Hui-Nam, MD, PhD
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container_end_page 1073.e11
container_issue 8
container_start_page 1073.e9
container_title Canadian journal of cardiology
container_volume 31
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
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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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