Maeda S, Okishige K, Tsuda Y, Yonai R, Kawashima T, Liang JJ, Arroyo RC, Kawabata M, Atarashi H, Hirao K. Coronary Arterial Vasospasm: A Rare Complication of Vein of Marshall Ethanol Infusion for Atrial Fibrillation.
JACC Case Rep 2021;
2:1766-1770. [PMID:
34317053 PMCID:
PMC8312119 DOI:
10.1016/j.jaccas.2020.06.046]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Revised: 06/19/2020] [Accepted: 06/30/2020] [Indexed: 11/16/2022]
Abstract
A 75-year-old man was admitted for repeat ablation of atrial fibrillation. At 30 min after infusion of 3.5 ml of ethanol into the vein of Marshall, inferior ST-segment elevation with coronary arterial vasospasm was observed. This is the first report of coronary vasospasm after chemical ablation of the vein of Marshall. (Level of Difficulty: Intermediate.).
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