Coronary Artery Spasm during Cryoballoon Ablation in a Patient with Atrial Fibrillation

被引：5
作者：
Yajima, Kazuhiro [1 ]
Yamase, Yuichiro [1 ]
Oishi, Hideo [1 ]
Ikehara, Noriyuki [1 ]
Asai, Yasushi [2 ]
机构：
[1] Gifu Prefectural Tajimi Hosp, Dept Cardiol, Tajimi, Gifu, Japan
[2] Hamada Asai Clin, Tajimi, Gifu, Japan
来源：
INTERNAL MEDICINE | 2018年 / 57卷 / 06期
关键词：
coronary artery spasm; cryoballoon ablation; atrial fibrillation; COLD PRESSOR TEST; RADIOFREQUENCY ABLATION; MYOCARDIAL-INFARCTION; VASOSPASTIC ANGINA; VARIANT ANGINA; PULMONARY VEIN; RISK-FACTORS; JAPANESE; INCREASE; SMOKING;
D O I：
10.2169/internalmedicine.9305-17
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The patient was a 63-year-old man with drug-resistant atrial fibrillation who developed coronary spasm during cryoballoon ablation (CBA). CBA was started from the left inferior pulmonary vein. ST elevations in II, III, and aVf, with reciprocal ST depressions in V2-5, occurred in association with chest pain just after balloon rewarming and deflation, and the patient's blood pressure fell to 50 mmHg. Coronary angiography revealed 90% diffuse stenosis from the orifice of segment 1 to segment 4 in the right coronary artery. The stenosis and ST elevations improved after the intracoronary injection of nitroglycerine. Using continuous peripheral intravenous coronary vasodilation, we electrically isolated the other pulmonary veins with CBA without incident.
引用
收藏
页码：819 / 822
页数：4
相关论文
共 28 条
  • [1] Diffuse coronary spasm during therapeutic hypothermia
    Akin, I.
    Rehders, T. C.
    Kische, S.
    Schneider, H.
    Turan, R. G.
    Kleinfeldt, T.
    Chatterjee, T. C.
    Ince, H.
    Nienaber, C. A.
    [J]. INTERNATIONAL JOURNAL OF CARDIOLOGY, 2011, 148 (03) : 373 - 375
  • [2] Racial heterogeneity in coronary artery vasomotor reactivity: Differences between Japanese and Caucasian patients
    Beltrame, JF
    Sasayama, S
    Maseri, A
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1999, 33 (06) : 1442 - 1452
  • [3] Ventricular fibrillation associated with multi-vessel coronary spasms following radiofrequency ablation of atrial fibrillation and atrial flutter
    Fujiwara, Ryudo
    Yoshida, Akihiro
    Hirata, Ken-ichi
    [J]. EUROPACE, 2014, 16 (07): : 1060 - 1060
  • [4] CIRCULATORY DYNAMICS DURING COLD PRESSOR TEST
    GREENE, MA
    BOLTAX, AJ
    LUSTIG, GA
    ROGOW, E
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1965, 16 (01) : 54 - &
  • [5] Severe coronary artery spasm during radiofrequency ablation for atrial fibrillation
    Hishikari, Keiichi
    Kuwahara, Taishi
    Takahashi, Atsushi
    Isobe, Mitsuaki
    [J]. INTERNATIONAL JOURNAL OF CARDIOLOGY, 2014, 172 (03) : E513 - E515
  • [6] Holda MK, 2016, NEW ENGL J MED, V375, P1100, DOI 10.1056/NEJMc1609160
  • [7] Histological study on the distribution of autonomic nerves in the human heart
    Kawano, H
    Okada, R
    Yano, K
    [J]. HEART AND VESSELS, 2003, 18 (01) : 32 - 39
  • [8] POTENTIATION OF CORONARY VASOCONSTRICTION BY BETA-ADRENERGIC-BLOCKADE IN PATIENTS WITH CORONARY-ARTERY DISEASE
    KERN, MJ
    GANZ, P
    HOROWITZ, JD
    GASPAR, J
    BARRY, WH
    LORELL, BH
    GROSSMAN, W
    MUDGE, GH
    [J]. CIRCULATION, 1983, 67 (06) : 1178 - 1185
  • [9] Nitric oxide activity is deficient in spasm arteries of patients with coronary spastic angina
    Kugiyama, K
    Yasue, H
    Okumura, K
    Ogawa, H
    Fujimoto, K
    Nakao, K
    Yoshimura, M
    Motoyama, T
    Inobe, Y
    Kawano, H
    [J]. CIRCULATION, 1996, 94 (03) : 266 - 272
  • [10] Clinical characteristics of massive air embolism complicating left atrial ablation of atrial fibrillation: lessons from five cases
    Kuwahara, Taishi
    Takahashi, Atsushi
    Takahashi, Yoshihide
    Kobori, Atsushi
    Miyazaki, Shinsuke
    Takei, Asumi
    Fujii, Akira
    Kusa, Shigeki
    Yagishita, Atsuhiko
    Okubo, Kenji
    Fujino, Tadashi
    Nozato, Toshihiro
    Hikita, Hiroyuki
    Sato, Akira
    Aonuma, Kazutaka
    [J]. EUROPACE, 2012, 14 (02): : 204 - 208
123