Severe hypoxemia after radiofrequency ablation for atrial fibrillation in palliatively repaired tetralogy of Fallot: A case report

被引：0

作者：

Li, Zhi-Hang ^{[1
]}

Lou, Lian ^{[1
]}

Chen, Yu-Xiao ^{[1
]}

Shi, Wen ^{[1
]}

Zhang, Xuan ^{[1
]}

Yang, Jian ^{[2
,3
]}

机构：

[1] Zhejiang Univ, Affiliated Hosp 1, Dept Cardiovasc Med, Sch Med, Hangzhou 310000, Zhejiang, Peoples R China

[2] Zhejiang Univ, Affiliated Hosp 1, Dept Cardiol, Sch Med, Hangzhou 310003, Zhejiang, Peoples R China

[3] Zhejiang Univ, Affiliated Hosp 1, Dept Cardiol, Sch Med, 79 Qing Chun Rd, Hangzhou 310003, Zhejiang, Peoples R China

来源：

WORLD JOURNAL OF CARDIOLOGY | 2024年 / 16卷 / 03期

关键词：

Atrial fibrillation; Radiofrequency ablation; Tetralogy of Fallot; Right-to-left shunt; Hypoxemia; Medical decision; Case report; CONGENITAL HEART-DISEASE; TACHYARRHYTHMIAS LATE; HYPERTENSION; PREVALENCE;

D O I：

10.4330/wjc.v16.i3.161

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND Patients with tetralogy of Fallot (TOF) often have arrhythmias, commonly being atrial fibrillation (AF). Radiofrequency ablation is an effective treatment for AF and does not usually cause severe postoperative hypoxemia, but the risk of complications may increase in patients with conditions such as TOF. CASE SUMMARY We report a young male patient with a history of TOF repair who developed severe hypoxemia after radiofrequency ablation for AF and was ultimately confirmed to have a new right-to-left shunt. The patient subsequently underwent atrial septal occlusion and eventually recovered. CONCLUSION Radiofrequency ablation may cause iatrogenic atrial septal injury; thus possible complications should be predicted in order to ensure successful treatment and patient safety.

引用

页数：8

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