Left atrial ıntramural hematoma after radiofrequency catheter ablation of left lateral accessory pathway
10.1186/s42444-021-00041-z
- Author:
Salim YAŞAR
1
;
Yalçın GÖKOĞLAN
;
Suat GÖRMEL
;
Serkan ASIL
;
Hasan Kutsi KABUL
Author Information
1. Department of Cardiology, Gülhane Training and Research Hospital, 06010 Ankara, Turkey
- Publication Type:CASE REPORT
- From:International Journal of Arrhythmia
2021;22(3):12-
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of left atrial hematoma after ablation of left lateral concealed accessory pathway. A 46-year-old male patient experienced chest pain after radiofrequency ablation. Transthoracic echocardiography and computed tomography revealed the intramural mass consistent with hematoma in the left atrium. He was hemodynamically stable, and conservative approach was decided. Atrioventricular groove is a vulnerable part of left atrium, and ablation of left free wall accessory pathway may require targeting both atrial and ventricular surfaces of the mitral annulus. Avoidance of forceful catheter manipulation during the electrophysiological procedure is important for prevention of this complication. Optimal periprocedural anticoagulation might reduce the risk of procedure-related thromboembolic complications, but electrophysiologists should always pay attention to an intramural hematoma that may occur after radiofrequency catheter ablation.
