Coronary artery dissection following radiofrequency ablation for atrial fibrillation: Case report and review of the literature
Coronary artery injury following catheter ablation for cardiac arrhythmias is very rare. We present a case of left circumflex (LCx) coronary artery dissection causing inferoposterior ST‐elevation myocardial infarction following radiofrequency (RF) ablation for atrial fibrillation (AF) in a 39‐year‐o...
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| Veröffentlicht in: | Catheterization and cardiovascular interventions 2021-02, Vol.97 (2), p.287-291 |
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| container_title | Catheterization and cardiovascular interventions |
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| creator | Reddy, S Ashwin Khialani, Bharat Kyranis, Stephen Hoole, Stephen |
| description | Coronary artery injury following catheter ablation for cardiac arrhythmias is very rare. We present a case of left circumflex (LCx) coronary artery dissection causing inferoposterior ST‐elevation myocardial infarction following radiofrequency (RF) ablation for atrial fibrillation (AF) in a 39‐year‐old male with no cardiovascular risk factors. This was confirmed on coronary angiography and intracoronary vascular ultrasound (IVUS). The likely etiology is thermal injury during RF ablation for AF, due to the close proximity of the left atrial appendage and left pulmonary veins to the LCx. He was successfully treated with primary percutaneous coronary intervention with good outcome. This is, to our knowledge, the first reported case of proven acute coronary dissection secondary to RF ablation for AF reported in the literature, and highlights the importance of considering this as a mechanism for coronary occlusion in these patients. |
| doi_str_mv | 10.1002/ccd.29183 |
| format | Article |
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We present a case of left circumflex (LCx) coronary artery dissection causing inferoposterior ST‐elevation myocardial infarction following radiofrequency (RF) ablation for atrial fibrillation (AF) in a 39‐year‐old male with no cardiovascular risk factors. This was confirmed on coronary angiography and intracoronary vascular ultrasound (IVUS). The likely etiology is thermal injury during RF ablation for AF, due to the close proximity of the left atrial appendage and left pulmonary veins to the LCx. He was successfully treated with primary percutaneous coronary intervention with good outcome. 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We present a case of left circumflex (LCx) coronary artery dissection causing inferoposterior ST‐elevation myocardial infarction following radiofrequency (RF) ablation for atrial fibrillation (AF) in a 39‐year‐old male with no cardiovascular risk factors. This was confirmed on coronary angiography and intracoronary vascular ultrasound (IVUS). The likely etiology is thermal injury during RF ablation for AF, due to the close proximity of the left atrial appendage and left pulmonary veins to the LCx. He was successfully treated with primary percutaneous coronary intervention with good outcome. This is, to our knowledge, the first reported case of proven acute coronary dissection secondary to RF ablation for AF reported in the literature, and highlights the importance of considering this as a mechanism for coronary occlusion in these patients.</description><subject>Ablation</subject><subject>Angiography</subject><subject>Cardiac arrhythmia</subject><subject>cardiac arrhythmias</subject><subject>Cardiovascular diseases</subject><subject>Case reports</subject><subject>Catheters</subject><subject>Coronary artery</subject><subject>Coronary vessels</subject><subject>Dissection</subject><subject>educational goals and objectives</subject><subject>Etiology</subject><subject>Fibrillation</subject><subject>Literature reviews</subject><subject>Myocardial infarction</subject><subject>Occlusion</subject><subject>percutaneous coronary intervention</subject><subject>Radiofrequency ablation</subject><subject>Risk factors</subject><subject>Stents</subject><subject>Thermal injury</subject><subject>Ultrasound</subject><subject>Veins & arteries</subject><issn>1522-1946</issn><issn>1522-726X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kUtPGzEUha2qVROgC_4AstRNWSTxYzK22VVTaCshsQGJ3ciPazCajIM904gNvx3TCSwqdXWPrj6d-zgIHVOypISwlbVuyRSV_AOa0zVjC8Hq2497TVVVz9BBzg-EEFUz9RnNOBNrwdZyjp6bmGKv0xPWaYBSXMgZ7BBij33surgL_R1O2oXoEzyO0NuCmk7viYT1kILusA8mhW7qn-FGZ8AJtjENWPeuyD8Bdjh6PNwD7kIZpYcxwRH65HWX4cu-HqKbi_Pr5tfi8urn7-b75cJyyvmiBm6J8ty5Ghyjlak0mEp4QXy1ZsYJYKJ2lVLcA7Way9KzRleyNtQQqfkh-jb5blMsR-Sh3YRsoezbQxxzyypOlJA1kQX9-g_6EMfUl-0KJRUTXElRqNOJsinmnMC32xQ25Y8tJe1rKG0Jpf0bSmFP9o6j2YB7J99SKMBqAnahg6f_O7VN82OyfAGQlZjN</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Reddy, S Ashwin</creator><creator>Khialani, Bharat</creator><creator>Kyranis, Stephen</creator><creator>Hoole, Stephen</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7510-1189</orcidid></search><sort><creationdate>20210201</creationdate><title>Coronary artery dissection following radiofrequency ablation for atrial fibrillation: Case report and review of the literature</title><author>Reddy, S Ashwin ; Khialani, Bharat ; Kyranis, Stephen ; Hoole, Stephen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3133-6e3c09f3dd6ed214b4aeb47f70f452bd7e276d4993fe1ca382bdcba486b1b08a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Ablation</topic><topic>Angiography</topic><topic>Cardiac arrhythmia</topic><topic>cardiac arrhythmias</topic><topic>Cardiovascular diseases</topic><topic>Case reports</topic><topic>Catheters</topic><topic>Coronary artery</topic><topic>Coronary vessels</topic><topic>Dissection</topic><topic>educational goals and objectives</topic><topic>Etiology</topic><topic>Fibrillation</topic><topic>Literature reviews</topic><topic>Myocardial infarction</topic><topic>Occlusion</topic><topic>percutaneous coronary intervention</topic><topic>Radiofrequency ablation</topic><topic>Risk factors</topic><topic>Stents</topic><topic>Thermal injury</topic><topic>Ultrasound</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reddy, S Ashwin</creatorcontrib><creatorcontrib>Khialani, Bharat</creatorcontrib><creatorcontrib>Kyranis, Stephen</creatorcontrib><creatorcontrib>Hoole, Stephen</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Catheterization and cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reddy, S Ashwin</au><au>Khialani, Bharat</au><au>Kyranis, Stephen</au><au>Hoole, Stephen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coronary artery dissection following radiofrequency ablation for atrial fibrillation: Case report and review of the literature</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Catheter Cardiovasc Interv</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>97</volume><issue>2</issue><spage>287</spage><epage>291</epage><pages>287-291</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><abstract>Coronary artery injury following catheter ablation for cardiac arrhythmias is very rare. We present a case of left circumflex (LCx) coronary artery dissection causing inferoposterior ST‐elevation myocardial infarction following radiofrequency (RF) ablation for atrial fibrillation (AF) in a 39‐year‐old male with no cardiovascular risk factors. This was confirmed on coronary angiography and intracoronary vascular ultrasound (IVUS). The likely etiology is thermal injury during RF ablation for AF, due to the close proximity of the left atrial appendage and left pulmonary veins to the LCx. He was successfully treated with primary percutaneous coronary intervention with good outcome. This is, to our knowledge, the first reported case of proven acute coronary dissection secondary to RF ablation for AF reported in the literature, and highlights the importance of considering this as a mechanism for coronary occlusion in these patients.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>32757258</pmid><doi>10.1002/ccd.29183</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-7510-1189</orcidid></addata></record> |
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| source | Wiley Online Library All Journals |
| subjects | Ablation Angiography Cardiac arrhythmia cardiac arrhythmias Cardiovascular diseases Case reports Catheters Coronary artery Coronary vessels Dissection educational goals and objectives Etiology Fibrillation Literature reviews Myocardial infarction Occlusion percutaneous coronary intervention Radiofrequency ablation Risk factors Stents Thermal injury Ultrasound Veins & arteries |
| title | Coronary artery dissection following radiofrequency ablation for atrial fibrillation: Case report and review of the literature |
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