(Circulation. 2001;103:538.)
© 2001 American Heart Association, Inc.
Clinical Investigation and Reports |
Coronary Artery Stenosis After Radiofrequency Catheter Ablation of Accessory Atrioventricular Pathways in Children With Ebstein’s Malformation
From the Department of Pediatric Cardiology and Pediatric Intensive Care, Hannover Medical School, Hannover, Germany.
Correspondence to Harald Bertram, MD, Pediatric Cardiology and Pediatric Intensive Care, Hannover Medical School, Carl-Neuberg-Straße 1, D-30625 Hannover, Germany. E-mail Bertram.Harald{at}mh-hannover.de
Background—Complications concerning the coronary arteries that are directly related to radiofrequency catheter ablation procedures have not been reported in children. Coronary artery lesions, however, have been demonstrated after the endocardial application of radiofrequency current in young animals.
Methods and Results—Two boys with Ebstein’s anomaly of the tricuspid valve developed clinically asymptomatic coronary artery stenosis after radiofrequency catheter ablation of right-sided accessory atrioventricular pathways with standard catheter technology.
Conclusions—The complication of coronary artery stenosis demonstrates a substantial risk after right atrial free wall radiofrequency current application in children. The risk of late coronary alterations should be considered when the use of catheter ablation procedures to young patients is proposed.
Key Words: ablation • stenosis • pediatrics • Wolff-Parkinson-White syndrome • Ebstein’s malformation
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