An unusual ‘rite of passage’ for an ablation catheter during left ventricular tachycardia ablation – a case report

INTRODUCTION: Ventricular perforation during radiofrequency ablation of ventricular tachycardia is a recognized serious complication that carries high morbidity and mortality. Perforation is often associated with local intramyocardial injury due to excess heat induced by catheter, ‘steam pop’. The c...

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Autores principales: Ma, Yuedong, Chen, Zhong, Shi, Rui, Wong, Tom
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426018/
https://www.ncbi.nlm.nih.gov/pubmed/31020088
http://dx.doi.org/10.1093/ehjcr/yty006
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author Ma, Yuedong
Chen, Zhong
Shi, Rui
Wong, Tom
author_facet Ma, Yuedong
Chen, Zhong
Shi, Rui
Wong, Tom
author_sort Ma, Yuedong
collection PubMed
description INTRODUCTION: Ventricular perforation during radiofrequency ablation of ventricular tachycardia is a recognized serious complication that carries high morbidity and mortality. Perforation is often associated with local intramyocardial injury due to excess heat induced by catheter, ‘steam pop’. The complication usually requires emergency surgical repair. CASE PRESENTATION: We present a case, when the catheter found its way into the epicardium during left ventricular (LV) electroanatomic mapping without any serious complication. Angiography through the ablation catheter confirmed the diagnosis of LV coronary sinus fistula. DISCUSSION: Contrast injection through the irrigation port of the ablation catheter is a useful way of delineating anatomical anomalies during electrophysiology procedure.
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spelling pubmed-64260182019-04-24 An unusual ‘rite of passage’ for an ablation catheter during left ventricular tachycardia ablation – a case report Ma, Yuedong Chen, Zhong Shi, Rui Wong, Tom Eur Heart J Case Rep Case Reports INTRODUCTION: Ventricular perforation during radiofrequency ablation of ventricular tachycardia is a recognized serious complication that carries high morbidity and mortality. Perforation is often associated with local intramyocardial injury due to excess heat induced by catheter, ‘steam pop’. The complication usually requires emergency surgical repair. CASE PRESENTATION: We present a case, when the catheter found its way into the epicardium during left ventricular (LV) electroanatomic mapping without any serious complication. Angiography through the ablation catheter confirmed the diagnosis of LV coronary sinus fistula. DISCUSSION: Contrast injection through the irrigation port of the ablation catheter is a useful way of delineating anatomical anomalies during electrophysiology procedure. Oxford University Press 2018-01-24 /pmc/articles/PMC6426018/ /pubmed/31020088 http://dx.doi.org/10.1093/ehjcr/yty006 Text en © The Author(s) 2018. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Ma, Yuedong
Chen, Zhong
Shi, Rui
Wong, Tom
An unusual ‘rite of passage’ for an ablation catheter during left ventricular tachycardia ablation – a case report
title An unusual ‘rite of passage’ for an ablation catheter during left ventricular tachycardia ablation – a case report
title_full An unusual ‘rite of passage’ for an ablation catheter during left ventricular tachycardia ablation – a case report
title_fullStr An unusual ‘rite of passage’ for an ablation catheter during left ventricular tachycardia ablation – a case report
title_full_unstemmed An unusual ‘rite of passage’ for an ablation catheter during left ventricular tachycardia ablation – a case report
title_short An unusual ‘rite of passage’ for an ablation catheter during left ventricular tachycardia ablation – a case report
title_sort unusual ‘rite of passage’ for an ablation catheter during left ventricular tachycardia ablation – a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426018/
https://www.ncbi.nlm.nih.gov/pubmed/31020088
http://dx.doi.org/10.1093/ehjcr/yty006
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