Asymptomatic Inferior Myocardial Infarction Following Atrial Tachycardia Ablation

Myocardial infarction following ablation

Authors

  • Mehmet Hakan Uzun, MD Department of Cardiology, Kutahya City Hospital, Kutahya, Turkey
  • Muhammet Ali Ekiz, MD Department of Cardiology, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey
  • Kadir Seker, MD Department of Cardiology, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey
  • Ahmet Vural, MD Department of Cardiology, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey
  • Bayram Ali Uysal, MD Department of Cardiology, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey
  • Mevlut Serdar Kuyumcu, MD Department of Cardiology, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey

Keywords:

atrial tachycardia ablation, inferior wall myocardial infarction, percutaneous coronary intervention

Abstract

One of the typical locations for atrial tachycardia is adjacent to the coronary sinus ostium. This region allows for easy catheter access but has important anatomical considerations. Aggressive ablations in this area may lead to inappropriate sinus tachycardia due to its proximity to the ganglion plexus located at the junction of the inferior vena cava and left atrium. Additionally, this region is near the circumflex artery (Cx) and the right coronary artery (RCA). Ablations in this area can result in direct vascular damage or indirectly cause vasospasm due to thermal energy conduction. In our case, the distal RCA was likely damaged due to direct vascular injury.

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Published

2024-10-01

Issue

Vol. 2 No. 4 (2024)

Section

Case reports

Categories

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The journal's content is licensed under the Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.