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Αλέξανδρος Γ. Σφακιανάκης

Monday, July 26, 2021

Delayed papillary muscle rupture after radiofrequency catheter ablation: A case report

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World J Clin Cases. 2021 Jul 16;9(20):5556-5561. doi: 10.12998/wjcc.v9.i20.5556.

ABSTRACT

BACKGROUND: With an increased number of surgical procedures involving the mitral annular region, the risk of mitral valve prolapse (MVP) has also increased. Previous studies have reported that worsening of MVP occurred early after radiofrequency catheter ablation (RFCA) at papillary muscles in ventricular tachycardia (VT) patients with preoperative MVP.

CASE SUMMARY: We report a case where MVP and papillary muscle rupture occurred 2 wk after RFCA in a papillary muscle originated VT patient without mitral valve regurgitation or prolapse before. The patient then underwent mitral valve replacement with no premature ventricular contraction or VT. During the surgery, a papillary muscle rupture was identified. Pathological examination showed necrosis of the papillary muscle. The patient recovered after mitral valve replacement.

CONCLUSION: T oo many ablation procedures and energy should be avoided.

PMID:34307609 | PMC:PMC8281425 | DOI:10.12998/wjcc.v9.i20.5556

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