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Europace Advance Access originally published online on August 21, 2009
Europace 2009 11(11):1554-1556; doi:10.1093/europace/eup219
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

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Coronary vasospasm triggered ventricular fibrillation delayed after radiofrequency ablation of the right accessory pathway

Yukio Hosaka1,*, Masaomi Chinushi2, Kazuyoshi Takahashi3, Kazuyuki Ozaki3, Takao Yanagawa1, Tsutomu Miida3, Hirotaka Oda3 and Yoshifusa Aizawa1

1 Division of Cardiology, Niigata University Graduate School of Medical and Dental Sciences, 1-754 Asahimachi, Chuou-ku, Niigata 951-8510, Japan; 2 School of Health Science, Niigata University, Niigata, Japan; 3 Department of Cardiology, Niigata City General Hospital, Niigata, Japan

Ventricular fibrillation associated with coronary vasospasm developed 8 h after successful radiofrequency (RF) ablation of the right accessory pathway in an 81-year-old male. A segment of the coronary vasospasm was located close to the accessory pathway, where seven RF ablations had been applied. Although rare, physicians should carefully consider the risk of such events when an RF current is applied near a coronary artery.

* Corresponding author. Tel: +81 25 227 2185, Fax: +81 25 227 0774, Email: hosaka{at}med.niigata-u.ac.jp

Manuscript submitted 29 March 2009. Accepted after revision 19 July 2009.


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