Key result
Left free wall RF ablation linked to remote acute proximal LAD occlusion requiring stenting.
Case Report (n=1)
Highlights a rare complication of remote LAD occlusion following RF ablation of a left lateral free wall accessory pathway.
Vigilance for remote coronary occlusion is warranted during left-sided accessory pathway ablation; this case report leaves open true incidence and mechanisms.
We describe a complication after radiofrequency (RF) ablation of a left free wall accessory pathway that resulted in acute occlusion of proximal left anterior descending (LAD) coronary artery in a 32-year-old male non-cocaine abuser. An interesting feature is the site of coronary artery occlusion which is remote from the RF application site. The RF energy applications were performed in the left lateral annulus remote from the LAD. The occlusion was successfully treated with placement of an intracoronary stent.
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Hakan Dinçkal (2003) conducted a case report in Left free wall accessory pathway (n=1). Radiofrequency (RF) ablation was evaluated on Acute occlusion of proximal LAD coronary artery. Radiofrequency ablation of a left free wall accessory pathway resulted in acute occlusion of the proximal LAD coronary artery remote from the application site, successfully treated with a stent.
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