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Acute coronary occlusion secondary to radiofrequency catheter ablation of a left lateral accessory pathway

CHATELAIN, P. ; ZIMMERMANN, M. ; WEBER, R. ; CAMPANINI, C. ; ADAMEC, R.

In: European Heart Journal, 1995, vol. 16, no. 6, p. 859-861

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    Titel
    • Acute coronary occlusion secondary to radiofrequency catheter ablation of a left lateral accessory pathway
    Autor
    • CHATELAIN, P.. cardiology Center, University Hospital, Geneva, Switzerland
    • ZIMMERMANN, M.. cardiology Center, University Hospital, Geneva, Switzerland
    • WEBER, R.. cardiology Center, University Hospital, Geneva, Switzerland
    • CAMPANINI, C.. cardiology Center, University Hospital, Geneva, Switzerland
    • ADAMEC, R.. cardiology Center, University Hospital, Geneva, Switzerland
    Dokumententyp
    • Postprint
    OAI-PMH-ID
    • oai:doc.rero.ch:303103
    Summary
    A case of asymptomatic acute coronary occlusion secondary to radiofrequency catheter ablation of a left lateral accessory pathway is reported. Due to post-procedural ST modifications of the surface ECG, a coronary angiography was performed which disclosed total occlusion of the first marginal branch of the left circumflex coronary artery. A cute myocardial infarction was confirmed by moderate cardiac enzyme release, abnormal myocardial perfusion scan and mild lateral hypokinesia at echocardiographv. This rare but potentially harmful complication of interventional electrophysiology should be kept in mind and coronary angiography performed immediately when coronary occlusion related to radiofrequency application is suspected