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A Case Report of Coronary Artery Stenosis Induced by Ablation for Premature Ventricular Complexes

Year: 2024

Type: article

Abstract: Many patients with premature ventricular complexes (PVCs) do not experience symptoms. However, for those with frequent or symptomatic PVCs, medical interventions are available. If medications fail, radiofrequency catheter ablation may be performed. Despite careful attention to avoiding the coronary arteries during ablation, injuries may still occur. Here, we present the case of a 66-year-old Caucasian female with frequent PVCs causing worsening palpitations, chest pain, fatigue, and lightheadedness, who underwent elective PVC ablation and suffered catheter-induced left main coronary artery stenosis, necessitating subsequent coronary artery bypass grafting (CABG). This case highlights a rare complication of cardiac ablation in the setting of PVCs and the rationale for clinical decisions made throughout the patient's hospital course.

Source: Cureus

DOI: 10.7759/cureus.71764

Authors: McKenna Schaar, Alaina Werling, Simon Tran, Jyoti Mohanty

Institutions: Nova Southeastern University, Palm Beach Gardens Medical Center

Language: English

Topic: Cardiac Arrhythmias and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funder: Nova Southeastern University