Document Detail

Aortic leaflet perforation during radiofrequency ablation.
MedLine Citation:
PMID:  1721146     Owner:  NLM     Status:  MEDLINE    
A 15-year-old girl underwent successful radiofrequency ablation of an accessory pathway. Following ablation, a new III/VI diastolic murmur was noted. Echocardiography revealed a perforated aortic leaflet, with a small amount of adherent valvular tissue and trivial aortic insufficiency by color Doppler. The patient remains asymptomatic. We are not aware of any similar complication from electrophysiological study, catheter ablation, coronary angiography, or percutaneous transluminal coronary angioplasty. We speculate that the current state of catheter technology contributed significantly to this complication. This case illustrates the need for using care in crossing the valve, continued advances in catheter technology to reduce the incidence of complications, and careful physical examination prior to and following attempts at ablation.
M J Seifert; F Morady; H G Calkins; J J Langberg
Related Documents :
22801066 - Assessment of subclinical atherosclerosis by carotid intima media thickness: technical ...
17174196 - Complications of right heart catheterization procedures in patients with pulmonary hype...
18383166 - Carotid sheath rescue with a distal filter retrieval catheter.
15777826 - Intravascular catheter complications in the neonatal intensive care unit.
9566136 - Anatomical study of the pectoral branch of thoracoacromial artery.
8398196 - A new sternal retraction device for the dissection of the internal mammary artery.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  14     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1991 Nov 
Date Detail:
Created Date:  1992-01-23     Completed Date:  1992-01-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1582-5     Citation Subset:  IM    
Division of Internal Medicine, University of Michigan Medical Center, Ann Arbor 48109.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aortic Valve / injuries*
Aortic Valve Insufficiency / etiology,  ultrasonography
Echocardiography, Doppler
Electrocoagulation / adverse effects*
Heart Murmurs / etiology
Radio Waves
Wolff-Parkinson-White Syndrome / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  A method for analysis of the local atrial evoked response for determination of atrial capture in per...
Next Document:  Effect of antiarrhythmic drug therapy on the incidence of shocks in patients who receive an implanta...