Inferior ST-elevation Myocardial Infarction Following an Atrial Flutter Ablation

Case Report

Volume 4, Issue 1

Inferior ST-elevation Myocardial Infarction Following an Atrial Flutter Ablation

John Taylor^1*, James Livesay¹, Kayleigh Litton^1,2, James Cox^1,2 and William Mahlow^1,2

¹Department of Medicine, University of Tennessee Graduate School of Medicine, Knoxville, TN
²Heart Lung Vascular Institute, University of Tennessee Medical Center, Knoxville, TN

^*Corresponding author: John Taylor, Department of Medicine, University of Tennessee Graduate School of Medicine, Knoxville, TN, USA.

Received: May 25, 2023; Accepted: June 07, 2023; Published: July 05, 2023

Citation: Taylor J, Livesay J, Litton K, et al. Inferior ST-elevation Myocardial Infarction Following an Atrial Flutter Ablation. Case Rep Clin Cardiol J. 2023; 3(3): 132.

Download PDF

Abstract

This case report highlights the clinical course of a 68-year-old male who underwent radiofrequency ablation for atrial flutter subsequently developing an inferior ST-segment elevation myocardial infarction. The patient had a complex medical history, including severe coronary artery disease and severe bicuspid aortic stenosis status post bypass grafting and Ross procedure. Emergent left heart catheterization revealed an acute occlusion of the saphenous vein graft to the right posterior descending artery at the site of the ablation. It is suggested that the ablation catheter induced endothelial injury, initiating the activation of platelets and coagulation factors, leading to thrombus formation and acute occlusion of the vessel. This case highlights the importance of careful patient selection, close monitoring, and prompt recognition and management of complications during atrial flutter ablation procedures.

Keywords: Catheter ablation; Atrial flutter; Myocardial infarction; Coronary artery disease; Complications; Bypass graft

Article Details

Inferior ST-elevation Myocardial Infarction Following an Atrial Flutter Ablation