Document Detail


Aortic leaflet perforation during radiofrequency ablation.
MedLine Citation:
PMID:  1721146     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
M J Seifert; F Morady; H G Calkins; J J Langberg
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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    
Affiliation:
Division of Internal Medicine, University of Michigan Medical Center, Ann Arbor 48109.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aortic Valve / injuries*
Aortic Valve Insufficiency / etiology,  ultrasonography
Echocardiography
Echocardiography, Doppler
Electrocoagulation / adverse effects*
Female
Heart Murmurs / etiology
Humans
Radio Waves
Wolff-Parkinson-White Syndrome / surgery*

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


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