Fatal coronary artery spasm triggered before transseptal puncture for mitral transcatheter edge-to-edge-repair: a case report

BACKGROUND: Transient ST-segment elevation or coronary artery spasm during transseptal catheterization has been previously described. Most cases were either reversible or asymptomatic. CASE SUMMARY: We present a case of severe multiple coronary artery spasms with advanced atrioventricular block and...

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Detalles Bibliográficos
Autores principales: Mo, Yujing, Li, Jie, Luo, Jianfang, Dong, Haojian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9825327/
https://www.ncbi.nlm.nih.gov/pubmed/36632571
http://dx.doi.org/10.1093/ehjcr/ytac483
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author Mo, Yujing
Li, Jie
Luo, Jianfang
Dong, Haojian
author_facet Mo, Yujing
Li, Jie
Luo, Jianfang
Dong, Haojian
author_sort Mo, Yujing
collection PubMed
description BACKGROUND: Transient ST-segment elevation or coronary artery spasm during transseptal catheterization has been previously described. Most cases were either reversible or asymptomatic. CASE SUMMARY: We present a case of severe multiple coronary artery spasms with advanced atrioventricular block and ventricular fibrillation during compression of the fossa ovalis by a sheath catheter, before the performance of the transseptal puncture procedure for mitral transcatheter edge-to-edge-repair. DISCUSSION: The mechanical effects of forward tension from transseptal puncture on the interatrial vagal network could be the most possible explanation for the occurrence of this phenomenon.
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spelling pubmed-98253272023-01-10 Fatal coronary artery spasm triggered before transseptal puncture for mitral transcatheter edge-to-edge-repair: a case report Mo, Yujing Li, Jie Luo, Jianfang Dong, Haojian Eur Heart J Case Rep Case Report BACKGROUND: Transient ST-segment elevation or coronary artery spasm during transseptal catheterization has been previously described. Most cases were either reversible or asymptomatic. CASE SUMMARY: We present a case of severe multiple coronary artery spasms with advanced atrioventricular block and ventricular fibrillation during compression of the fossa ovalis by a sheath catheter, before the performance of the transseptal puncture procedure for mitral transcatheter edge-to-edge-repair. DISCUSSION: The mechanical effects of forward tension from transseptal puncture on the interatrial vagal network could be the most possible explanation for the occurrence of this phenomenon. Oxford University Press 2022-12-27 /pmc/articles/PMC9825327/ /pubmed/36632571 http://dx.doi.org/10.1093/ehjcr/ytac483 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://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 Report
Mo, Yujing
Li, Jie
Luo, Jianfang
Dong, Haojian
Fatal coronary artery spasm triggered before transseptal puncture for mitral transcatheter edge-to-edge-repair: a case report
title Fatal coronary artery spasm triggered before transseptal puncture for mitral transcatheter edge-to-edge-repair: a case report
title_full Fatal coronary artery spasm triggered before transseptal puncture for mitral transcatheter edge-to-edge-repair: a case report
title_fullStr Fatal coronary artery spasm triggered before transseptal puncture for mitral transcatheter edge-to-edge-repair: a case report
title_full_unstemmed Fatal coronary artery spasm triggered before transseptal puncture for mitral transcatheter edge-to-edge-repair: a case report
title_short Fatal coronary artery spasm triggered before transseptal puncture for mitral transcatheter edge-to-edge-repair: a case report
title_sort fatal coronary artery spasm triggered before transseptal puncture for mitral transcatheter edge-to-edge-repair: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9825327/
https://www.ncbi.nlm.nih.gov/pubmed/36632571
http://dx.doi.org/10.1093/ehjcr/ytac483
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