Radiofrequency ablation-induced superior vena cava stenosis in a 5-year-old boy with congenital left atrial appendage deformity: a case report and literature review

Frontiers in Surgery

Surgery

Meifang Li¹  Dongmin Yu¹  Jianxian Xiong²  Jianfeng Gao³  Yu Wenbo³ 

[1] Department of Breast Disease Comprehensive Center, First Affiliated Hospital of Gannan Medical University, Ganzhou, China;Department of Cardiovascular Surgery, First Affiliated Hospital of Gannan Medical University, Ganzhou, China;The First Clinical Medical College, Gannan Medical University, Ganzhou, China;

关键词: superior vena cava;    left atrial appendage aneurysm;    radiofrequency ablation;    arrhythmias;    complication;   

DOI  :  10.3389/fsurg.2023.1199335

 received in 2023-04-03, accepted in 2023-06-21,  发布年份 2023

来源: Frontiers

【 摘 要 】

Superior vena cava (SVC) stenosis is rarely caused by iatrogenic trauma. Herein, the case of a 5-year-old boy who underwent radiofrequency ablation for paroxysmal supraventricular tachycardia but developed SVC stenosis and related syndromes is reported. Notably, the child exhibited an enlarged left atrial appendage that had partially breached the pericardium. Subsequent interventions involved successful removal of the stenosis, artificial vascular reconstruction, and comprehensive radiofrequency ablation of the entire right atrium, along with ligation of the left atrial appendage under direct vision. As a result, the child experienced relief from symptoms.

【 授权许可】

Unknown   
© 2023 Xiong, Wenbo, Gao, Li and Yu.