Schaar McKenna, Werling Alaina, Tran Simon, Mohanty Jyoti
Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Interventional Cardiology, Palm Beach Gardens Medical Center, Palm Beach Gardens, USA.
Cureus. 2024 Oct 18;16(10):e71764. doi: 10.7759/cureus.71764. eCollection 2024 Oct.
Many patients with premature ventricular complexes (PVCs) do not experience symptoms. However, for those with frequent or symptomatic PVCs, medical interventions are available. If medications fail, radiofrequency catheter ablation may be performed. Despite careful attention to avoiding the coronary arteries during ablation, injuries may still occur. Here, we present the case of a 66-year-old Caucasian female with frequent PVCs causing worsening palpitations, chest pain, fatigue, and lightheadedness, who underwent elective PVC ablation and suffered catheter-induced left main coronary artery stenosis, necessitating subsequent coronary artery bypass grafting (CABG). This case highlights a rare complication of cardiac ablation in the setting of PVCs and the rationale for clinical decisions made throughout the patient's hospital course.
许多室性早搏（PVC）患者没有症状。然而，对于那些频发或有症状的PVC患者，可以进行医学干预。如果药物治疗无效，可进行射频导管消融术。尽管在消融过程中小心避免损伤冠状动脉，但仍可能发生损伤。在此，我们报告一例66岁白种女性病例，她频发PVC，导致心悸、胸痛、疲劳和头晕加重，接受了择期PVC消融术，术后发生导管所致左主干冠状动脉狭窄，随后需要进行冠状动脉旁路移植术（CABG）。该病例凸显了PVC患者心脏消融术罕见的并发症，以及在患者整个住院过程中做出临床决策的依据。
