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Europace 2003 5(3):263-266; doi:10.1016/S1099-5129(03)00033-3
© 2003 by European Society of Cardiology
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CASE REPORT

Left anterior descending coronary artery occlusion after left lateral free wall accessory pathway ablation

What is the possible mechanism?

H. Dinckal1, O. Yucel2, A. Kirilmaz3, M. Karaca4, F. Kilicaslan3 and B. Dokumaci5

1Department of Cardiology, Medical Faculty of Gaziantep University Gaziantep, Turkey; 2Department of Cardiology, SSK Hospital Bursa Turkey; 3Department of Cardiology, GATA Military Hospital Ankara, Turkey; 4Department of Cardiology, Atatürk State Hospital Izmir, Turkey; 5Department of Cardiology, SSK Hospital Eskisehir, Turkey

We describe a complication after radiofrequency (RF) ablation of a left free wall accessory pathway that resulted in acute occlusion of proximal left anterior descending (LAD) coronary artery in a 32-year-old male non-cocaine abuser. An interesting feature is the site of coronary artery occlusion which is remote from the RF application site. The RF energy applications were performed in the left lateral annulus remote from the LAD. The occlusion was successfully treated with placement of an intracoronary stent.

Key Words: Radiofrequency catheter ablation, coronary occlusion, accessory pathway

Correspondence: Dr Hakan Dinckal, Gazi Mah. Karacaoglan Cad. No: 26/B-1 Sukru Ercan Apt, Sehitkamil/Gaziantep, Turkey. Tel.: +90-342-335-2998; Fax: +90-342-360-1617; E-mail: mhdinckal{at}gantep.edu.tr


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