Key result
Retrograde aortic catheter manipulation during VT ablation leads to iatrogenic type A dissection requiring emergent surgery.
Case Report (n=1)
No
This case report describes the first known instance of iatrogenic type A aortic dissection occurring during retrograde aortic mapping for idiopathic ventricular tachycardia ablation and outlines strategies to prevent and rapidly diagnose this life-threatening complication.
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Requires caution with retrograde aortic access during VT ablation in elderly patients; leaves open the true incidence of this rare complication.
Iatrogenic ascending aorta dissection has been reported as a rare and potentially life-threatening complication of coronary angiography procedures1; however, there are no reports of this complication occurring during a cardiac ablation. Idiopathic ventricular tachycardia (VT) is an arrhythmia that occurs in structurally normal hearts and can often be definitively treated by catheter ablation. These cases occasionally require a retrograde aortic approach. We present an instance of a type A aortic dissection resulting from ablation catheter manipulation during retrograde mapping of idiopathic VT.
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Yeshwant et al. (2017) conducted a case report in Idiopathic ventricular tachycardia (n=1). Retrograde aortic mapping for idiopathic ventricular tachycardia catheter ablation was evaluated on Iatrogenic type A aortic dissection and subsequent emergent surgical repair.
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