An uncommon case of inferior vena cava injury during atrial fibrillation ablation

Author:

Pastoricchio Manuela1,Dell’Antonio Andrea1,Zecchin Massimo2,Bianco Elisabetta2,Zucca Annalisa1,Biloslavo Alan1,Bortul Marina1

Affiliation:

1. Division of Clinical Surgery, Department of Medical, Surgical and Health Sciences, Cattinara University Hospital, Trieste 34149, Italy

2. Cardiovascular Department, Cattinara University Hospital, Trieste 34149, Italy

Abstract

Abstract A 64-year-old man underwent catheter ablation (CA) of atrial fibrillation with intracardiac echocardiography (ICE) assistance. As the probe was advanced toward the right atrium, sudden abdominal pain was felt by the patient with hypotension and tachycardia requiring fluids and vasopressors for hemodynamic stabilization. The inferior vena cava (IVC) was injured by the passing probe and open repair was then performed. To our knowledge, this is the first reported case of symptomatic IVC laceration by the probe used for ICE during CA.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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