Coronary arterial injury during right ventricular outflow tract ablation: Know your neighbors.
Aadhavi SridharanMathew D HutchinsonPublished in: Journal of cardiovascular electrophysiology (2023)
Left anterior descending (LAD) coronary arterial injury is an underappreciated and rare consequence of ablation in the right ventricular outflow tract (RVOT). The authors present five cases of acute or subacute LAD injury after RVOT ablation. Most patients had fairly extensive ablation and two had coincident cardiac perforation. The patients reported also had a strikingly similar ECG morphology of their spontaneous ventricular arrhythmias. The authors' report serves an important cautionary tale regarding ablation of intramural septal VAs This article is protected by copyright. All rights reserved.
Keyphrases
- end stage renal disease
- ejection fraction
- chronic kidney disease
- coronary artery disease
- coronary artery
- catheter ablation
- radiofrequency ablation
- prognostic factors
- peritoneal dialysis
- left ventricular
- intensive care unit
- aortic stenosis
- heart rate
- hypertrophic cardiomyopathy
- drug induced
- transcatheter aortic valve replacement