Acta clinica Croatica, Vol. 64. No. 4, 2025.
Recenzija, prikaz
https://doi.org/10.20471/acc.2025.64.04.21
Cathether Ablation of Premature Ventricular Complexes from the Left Ventricular Summit Complicated with Acute Coronary Syndrome
Tonći Batinić
orcid.org/0000-0002-8431-6963
; Department of Cardiology, Sestre milosrdnice University Hospital Center, Zagreb
*
Vjekoslav Radeljić
; Department of Cardiology, Sestre milosrdnice University Hospital Center, Zagreb; School of Medicine, University of Zagreb
Ivan Zeljković
; Department of Cardiology, University Hospital Dubrava, Zagreb; Faculty of Teacher Education, University of Zagreb
Kristijan Đula
orcid.org/0000-0002-5530-850X
; Department of Cardiology, Sestre milosrdnice University Hospital Center, Zagreb
* Dopisni autor.
Sažetak
Premature ventricular complexes (PVCs) are only clinically significant in a small
number of patients. Symptoms are usually accompanied by a significant PVCs burden, which can then
cause cardiomyopathy in the long term. Catheter ablation is the therapy of choice in these situations.
One of the most challenging foci is the area of the so-called left ventricular summit (LV summit), due
to close anatomical connections and consequently a greater possibility of periprocedural complications,
including injuries of coronary arteries. We report the case of a patient with atypical chest pain and an
acute thrombotic occlusion of the ostial level of the left circumflex artery after a PVCs ablation in the
LV summit. An urgent coronary angiography was performed via the right transradial approach and
PCI was performed with the implantation of one drug-eluting stent. This case report suggests that it
should be standard practice to record a 12-channel ECG of every patient immediately after returning to
the ward, regardless of the existence of any symptoms. Considering the low risk of diagnostic coronary
angiography (< 1%), we believe that it should be routinely done before and after the planned ablation in
the area of the LV summit.
Ključne riječi
Premature ventricular complexes; Catheter ablation; Myocardial infarction
Hrčak ID:
344735
URI
Datum izdavanja:
31.12.2025.
Posjeta: 290 *