Coronary Artery Spasm during Cryoballoon Ablation in a Patient with Atrial Fibrillation

The patient was a 63-year-old man with drug-resistant atrial fibrillation who developed coronary spasm during cryoballoon ablation (CBA). CBA was started from the left inferior pulmonary vein. ST elevations in II, III, and aVf, with reciprocal ST depressions in V2-5, occurred in association with che...

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Autores principales: Yajima, Kazuhiro, Yamase, Yuichiro, Oishi, Hideo, Ikehara, Noriyuki, Asai, Yasushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891520/
https://www.ncbi.nlm.nih.gov/pubmed/29093410
http://dx.doi.org/10.2169/internalmedicine.9305-17
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author Yajima, Kazuhiro
Yamase, Yuichiro
Oishi, Hideo
Ikehara, Noriyuki
Asai, Yasushi
author_facet Yajima, Kazuhiro
Yamase, Yuichiro
Oishi, Hideo
Ikehara, Noriyuki
Asai, Yasushi
author_sort Yajima, Kazuhiro
collection PubMed
description The patient was a 63-year-old man with drug-resistant atrial fibrillation who developed coronary spasm during cryoballoon ablation (CBA). CBA was started from the left inferior pulmonary vein. ST elevations in II, III, and aVf, with reciprocal ST depressions in V2-5, occurred in association with chest pain just after balloon rewarming and deflation, and the patient's blood pressure fell to 50 mmHg. Coronary angiography revealed 90% diffuse stenosis from the orifice of segment 1 to segment 4 in the right coronary artery. The stenosis and ST elevations improved after the intracoronary injection of nitroglycerine. Using continuous peripheral intravenous coronary vasodilation, we electrically isolated the other pulmonary veins with CBA without incident.
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spelling pubmed-58915202018-04-12 Coronary Artery Spasm during Cryoballoon Ablation in a Patient with Atrial Fibrillation Yajima, Kazuhiro Yamase, Yuichiro Oishi, Hideo Ikehara, Noriyuki Asai, Yasushi Intern Med Case Report The patient was a 63-year-old man with drug-resistant atrial fibrillation who developed coronary spasm during cryoballoon ablation (CBA). CBA was started from the left inferior pulmonary vein. ST elevations in II, III, and aVf, with reciprocal ST depressions in V2-5, occurred in association with chest pain just after balloon rewarming and deflation, and the patient's blood pressure fell to 50 mmHg. Coronary angiography revealed 90% diffuse stenosis from the orifice of segment 1 to segment 4 in the right coronary artery. The stenosis and ST elevations improved after the intracoronary injection of nitroglycerine. Using continuous peripheral intravenous coronary vasodilation, we electrically isolated the other pulmonary veins with CBA without incident. The Japanese Society of Internal Medicine 2017-11-01 2018-03-15 /pmc/articles/PMC5891520/ /pubmed/29093410 http://dx.doi.org/10.2169/internalmedicine.9305-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yajima, Kazuhiro
Yamase, Yuichiro
Oishi, Hideo
Ikehara, Noriyuki
Asai, Yasushi
Coronary Artery Spasm during Cryoballoon Ablation in a Patient with Atrial Fibrillation
title Coronary Artery Spasm during Cryoballoon Ablation in a Patient with Atrial Fibrillation
title_full Coronary Artery Spasm during Cryoballoon Ablation in a Patient with Atrial Fibrillation
title_fullStr Coronary Artery Spasm during Cryoballoon Ablation in a Patient with Atrial Fibrillation
title_full_unstemmed Coronary Artery Spasm during Cryoballoon Ablation in a Patient with Atrial Fibrillation
title_short Coronary Artery Spasm during Cryoballoon Ablation in a Patient with Atrial Fibrillation
title_sort coronary artery spasm during cryoballoon ablation in a patient with atrial fibrillation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891520/
https://www.ncbi.nlm.nih.gov/pubmed/29093410
http://dx.doi.org/10.2169/internalmedicine.9305-17
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