Delayed Left Main Coronary Artery Obstruction After Radiofrequency-Induced Coronary Dissection and Spasm

• DOI: 10.1016/j.jcin.2017.06.040
• Publication Date: 2017-09-13T18:45:33Z
• Authors: Umihiko Kaneko; Yoshifumi Kashima; Daitaro Kanno; Takayuki Kitai; Hiroshi Taniguchi; Kikuya Uno; Tsutomu Fujita
• Keywords: Time Factors; Vasodilator Agents; Shock, Cardiogenic; Coronary Vasospasm; Coronary Angiography; Coronary Vessels; Ventricular Premature Complexes; 03 medical and health sciences; Percutaneous Coronary Intervention; 0302 clinical medicine; Coronary Occlusion; Heart Injuries; Predictive Value of Tests; Vasoconstriction; Catheter Ablation; Humans; Female; Stents; Non-ST Elevated Myocardial Infarction; Tomography, Optical Coherence; Ultrasonography, Interventional; Aged

A 70-year-old woman underwent second radiofrequency ablation at the left coronary cusp for recurrent and drug-refractory premature ventricular contractions arising from the left coronary cusp. Pre-procedural coronary angiography showed no stenosis in either coronary artery. Radiofrequency energy