Nagamine Hiroshi, Sawa Shigeharu, Ikeda Chikako, Nishida Yuji, Hara Hiroiku, Watanabe Go
Department of Thoracic and Cardiovascular Surgery, Yokohama Sakae Kyosai Hospital, 132 Katsura-cho, Sakae-ku, Yokohama, Kanagawa 247-8581, Japan.
Gen Thorac Cardiovasc Surg. 2011 Apr;59(4):280-3. doi: 10.1007/s11748-010-0667-y. Epub 2011 Apr 12.
Radiofrequency 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.
射频导管消融治疗旁路传导束已成为广泛接受的治疗预激综合征（WPW）的方法。该手术成功率通常较高，并发症发生率较低。左心室穿孔是导管消融罕见但严重的并发症。在此，我们描述一名预激综合征患者在导管消融后发生左心室穿孔、心外膜下夹层血肿并伴有心脏压塞。在体外循环下立即进行血肿清除和对脆弱心肌的直接修复，患者存活且无进一步并发症。
