Key result
Stenting successfully treated a rare left main coronary artery occlusion that occurred as a complication during radiofrequency ablation for Wolff-Parkinson-White syndrome in a 56-year-old male.
Case Report (n=1)
Coronary artery occlusion is a rare but potentially fatal complication of RF ablation for WPW syndrome that requires immediate angiography and stenting if severe chest pain occurs.
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May warrant urgent angiography for chest pain during WPW ablation; leaves open incidence and prevention data.
Wolff-Parkinson-White (WPW) syndrome is a disorder characterized by presence of an accessory pathway that predisposes patients to tachyarrhythmias and sudden death. Radiofrequency ablation (RFA) is both effective and safe for patients with symptomatic tachyarrhythmias mediated by accessory atrioventricular pathways. During the procedure, fatal complications may occur but it is considered low in relation to the morbidity associated with the WPW syndrome. Coronary artery occlusion, as a complication of an RF catheter ablation, is quite rare. In this report, we present a 56-year-old male patient with a left main coronary artery (LMCA) occlusion during the ablation of left anterolateral wall accessory pathway. It should be kept in mind if the patient complains of new onset of severe chest pain, an immediate angiography should be performed.
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Yalın et al. (2010) conducted a case report in Wolff-Parkinson-White syndrome (n=1). Stenting was evaluated. Stenting successfully treated a rare left main coronary artery occlusion that occurred as a complication during radiofrequency ablation for Wolff-Parkinson-White syndrome in a 56-year-old male.
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