• Gen Thorac Cardiovasc Surg · Apr 2011

    Case Reports

    Left ventricular perforation and dissecting subepicardial hematoma after catheter ablation for Wolff-Parkinson-White syndrome.

    • Hiroshi Nagamine, Shigeharu Sawa, Chikako Ikeda, Yuji Nishida, Hiroiku Hara, and Go Watanabe.
    • Department of Thoracic and Cardiovascular Surgery, Yokohama Sakae Kyosai Hospital, 132 Katsura-cho, Sakae-ku, Yokohama, Kanagawa 247-8581, Japan. hiroshi-nagamine@arion.ocn.ne.jp
    • Gen Thorac Cardiovasc Surg. 2011 Apr 1; 59 (4): 280-3.

    AbstractRadiofrequency catheter ablation of accessory bypass tracts has become a widely accepted therapy for Wolff-Parkinson-White (WPW) syndrome. The procedure typically has a high success rate with a low incidence of complications. Left ventricular perforation is a rare but serious complication of catheter ablation. Here we describe a patient who developed left ventricular perforation and a dissecting subepicardial hematoma with cardiac tamponade following catheter ablation for WPW syndrome. Immediate hematoma evacuation and direct repair of the fragile myocardium were performed under cardiopulmonary bypass, and the patient survived with no further complications.

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