Acute Myocardial Infarction after Radiofrequency Catheter Ablation of Typical Atrial Flutter
Journal of Korean Medical Science
; : 292-295, 2014.
Article
em En
| WPRIM
| ID: wpr-180427
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Flutter Atrial
/
Trombose
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Dor no Peito
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Angioplastia Coronária com Balão
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Doença Aguda
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Ablação por Cateter
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Vasos Coronários
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Oclusão Coronária
/
Infarto do Miocárdio
Limite:
Humans
/
Male
Idioma:
En
Revista:
Journal of Korean Medical Science
Ano de publicação:
2014
Tipo de documento:
Article