Key result
Emergent ECMO and surgical exploration successfully repair iatrogenic coronary sinus rupture during AF ablation.
Why the study?
Rupture of the coronary sinus during percutaneous ablation for atrial fibrillation in patients with abnormal left atrium to coronary sinus shunts is a rare and serious complication requiring effective salvage strategies.
Case Report (n=1)
Emergent ECMO followed by surgical exploration can successfully salvage a ruptured coronary sinus during atrial fibrillation ablation.
Answers are grounded in this paper and cite their sources.
May support ECMO and surgery for rare ablation complications; leaves open optimal prevention and management strategies.
Herein, we describe the rare anatomy of an abnormal shunt from the left atrium to the coronary sinus, which ruptured during a percutaneous ablation for atrial fibrillation. The iatrogenic lesion was successfully repaired after emergent extracorporeal membrane oxygenation set up followed by surgical exploration. The patient's postoperative course was uneventful, and she was regularly followed up without any complications.
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Liao et al. (2021) conducted a case report in Ruptured coronary sinus during percutaneous ablation for atrial fibrillation (n=1). Emergent extracorporeal membrane oxygenation followed by surgical exploration was evaluated on Postoperative course and complications. Emergent extracorporeal membrane oxygenation followed by surgical exploration successfully repaired an iatrogenic ruptured coronary sinus during percutaneous ablation for atrial fibrillation.
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