Acute Myocardial Infarction after Radiofrequency Catheter Ablation of Typical Atrial Flutter
Journal of Korean Medical Science
;
: 292-295, 2014.
Article
Dans Anglais
| WPRIM
| ID: wpr-180427
ABSTRACT
A 53-yr-old man underwent radiofrequency ablation to treat persistent atrial flutter. After the procedure, the chest pain was getting worse, and the electrocardiogram showed ST-segment elevation in inferior leads with reciprocal changes. Immediate coronary angiography showed total occlusion with thrombi at the distal portion of the right coronary artery, which was very close to the ablation site. Intervention with thrombus aspiration and balloon dilatation was successful, and the patient recovered without any kind of sequelae. Although the exact mechanism is obscure, the most likely explanation is a thermal injury to the vascular wall that ruptured into the lumen and formed thrombus. Vasospasm and thromboembolism can also be other possibilities. This case raise the alarm to cardiologists who perform radiofrequency ablation to treat various kinds of cardiac arrhythmias, in that myocardial infarction has been rarely considered one of the complications.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Flutter auriculaire
/
Thrombose
/
Douleur thoracique
/
Angioplastie coronaire par ballonnet
/
Maladie aigüe
/
Ablation par cathéter
/
Vaisseaux coronaires
/
Occlusion coronarienne
/
Infarctus du myocarde
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Journal of Korean Medical Science
Année:
2014
Type:
Article
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