Tao Tingting, Zheng Junnan, Xu Hongfei, Ni Yiming
Department of Cardiothoracic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, 79#, Qingchun Road, Zhejiang, 310000, Hangzhou, China.
J Cardiothorac Surg. 2019 Nov 4;14(1):185. doi: 10.1186/s13019-019-1011-y.
Cardiac radiofrequency ablation is a popular treatment for arrhythmias. However, it does have some complications, some of which are severe, even fatally. And there were limited reports on cardiac internal perforation after radiofrequency catheter ablation (RFCA) that required a surgical repair.
A 47-year-old male was admitted to our hospital due to chest congestion for 4 months. He received a radiofrequency catheter ablation (RFCA) 9 months prior to admission. On admission, an echocardiogram showed an abnormal perforation between the left ventricle and the left atrium with moderate mitral valve regurgitation. We therefore performed a mitral valve replacement (MVR) and fixed the abnormal atrial-ventricular breakage via median sternotomy.
Cardiac perforation is a severe complication of cardiac RFCA, operators should be extremely cautious to minimize radiofrequency associated perforations. Such a challenging and complex procedure should be deliberately considered by doctors and patients before implementation.
心脏射频消融术是治疗心律失常的常用方法。然而，它确实存在一些并发症，其中一些较为严重，甚至会致命。关于射频导管消融术（RFCA）后需要手术修复的心脏内部穿孔的报道有限。
一名47岁男性因胸部闷塞4个月入院。他在入院前9个月接受了射频导管消融术（RFCA）。入院时，超声心动图显示左心室和左心房之间存在异常穿孔，伴有中度二尖瓣反流。因此，我们进行了二尖瓣置换术（MVR），并通过正中胸骨切开术修复了异常的房室破损。
心脏穿孔是心脏RFCA的严重并发症，操作人员应极其谨慎，以尽量减少与射频相关的穿孔。在实施如此具有挑战性和复杂性的手术之前，医生和患者应慎重考虑。
