Guide Wire Entrapment in Mitral Subvalvular Apparatus during Left Lateral Accessory Pathway Ablation: A Case Report

Mohammad Vahid Jorat; Mohammad hossein Nikoo; Maryam Tahamtan

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Guide Wire Entrapment in Mitral Subvalvular Apparatus during Left Lateral Accessory Pathway Ablation: A Case Report

Author(s):

Mohammad Vahid Jorat¹,

Mohammad hossein Nikoo¹,

Maryam Tahamtan^1,*

1Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

International Cardiovascular Research Journal:Vol. 11, issue 1; e10557

Published online:Mar 01, 2017

Article type:Case Report

Received:Jan 22, 2016

Accepted:May 21, 2016

How to Cite:Mohammad Vahid JoratMohammad hossein NikooMaryam TahamtanGuide Wire Entrapment in Mitral Subvalvular Apparatus during Left Lateral Accessory Pathway Ablation: A Case Report.Int Cardiovasc Res J.11(1):e10557.

Abstract

Mitral annular region and valvular apparatus injury during catheter ablation is a rare but serious complication. Although entrapment of a circular-tip mapping catheter in the mitral valve complex has been described as a major etiology of this rare complication, spring-tip guide wire entrapment in mitral valve complex during ablation procedures is unreported. We reported entrapment of a spring-tip guide wire in the mitral subvalvular apparatus during ablation of left lateral accessory pathway using transatrial septal approach. Various techniques were performed to make the guide wire free, which ultimately resulted in fracture of its distal end and subsequently surgical extraction. This unusual complication of catheter ablation would be a critical harm to patients undergoing trans-septal ablation approaches and great consideration should be warranted during the procedures.

Keywords

Catheter Ablation

Mitral Regurgitation

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