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International Cardiovascular Research Journal
An annual journal in scientific affiliation with the Cardiovascular Research Center, Shiraz University of Medical Sciences
e-ISSN 2251-9149
p-ISSN 2251-9130
Image Credit:Int Cardiovasc Res J
Outline
Guide Wire Entrapment in Mitral Subvalvular Apparatus during Left Lateral Accessory Pathway Ablation: A Case Report
Authors
1Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
*Corresponding Author: Corresponding author: Maryam Tahamtan, Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Email: mtahamtan@sums.ac.ir
Published online:Mar 01, 2017
Article type:Case Report
Received:Jan 22, 2016
Accepted:May 21, 2016
How to Cite:Jorat MV, Nikoo MH, Tahamtan M. Guide Wire Entrapment in Mitral Subvalvular Apparatus during Left Lateral Accessory Pathway Ablation: A Case Report. Int Cardiovasc Res J. 2017;11(1):e10557. doi:
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.
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References
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Copyright
© 2017, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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