Left anterior descending coronary artery occlusion after left lateral free wall accessory pathway ablation: what is the possible mechanism?
H Dinckal1, O Yucel, A Kirilmaz
1Department of Cardiology, Medical Faculty of Gaziantep University, Gaziantep, Turkey. mhdinckal@gantep.edu.tr
Abstract:
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.
Related Concept Videos
Coronary Circulation
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
Coronary Artery Disease II: Pathophysiology

