Entanglement of a circular mapping catheter in the mitral valve with persistent iatrogenic atrial septal defect after attempted pulmonary vein isolation: a word of caution

Alexander Weymann; Bastian Schmack; Helmut Rauch; Christian Rosendal; Matthias Karck; Gábor Szabó

doi:10.5761/atcs.cr.12.01967

Entanglement of a circular mapping catheter in the mitral valve with persistent iatrogenic atrial septal defect after attempted pulmonary vein isolation: a word of caution

Ann Thorac Cardiovasc Surg. 2014;20(3):250-2. doi: 10.5761/atcs.cr.12.01967. Epub 2012 Dec 26.

Authors

Alexander Weymann¹, Bastian Schmack, Helmut Rauch, Christian Rosendal, Matthias Karck, Gábor Szabó

Affiliation

¹ Department of Cardiac Surgery, Heart Center-University of Heidelberg, Heidelberg, Germany.

PMID: 23269262
DOI: 10.5761/atcs.cr.12.01967

Abstract

A 34-year-old man presented with pulmonary vein isolation due to paroxysmal atrial fibrillation. During the standard procedure, the circular mapping catheter became dislocated and was caught in the mitral valve apparatus. Following multiple failed attempts to remove the catheter in the catheterization laboratory, the patient needed an emergency operation using the heart-lung machine.

Publication types

Case Reports

MeSH terms

Adult
Atrial Fibrillation / diagnosis
Atrial Fibrillation / physiopathology
Atrial Fibrillation / surgery*
Atrial Septum / injuries*
Atrial Septum / surgery
Cardiac Catheters / adverse effects*
Catheter Ablation / adverse effects*
Catheter Ablation / instrumentation
Device Removal
Echocardiography, Three-Dimensional
Echocardiography, Transesophageal
Emergencies
Equipment Design
Equipment Failure
Heart Injuries / diagnosis
Heart Injuries / etiology*
Heart Injuries / surgery
Heart-Lung Machine
Humans
Iatrogenic Disease*
Male
Mitral Valve / injuries*
Mitral Valve / surgery
Mitral Valve Insufficiency / etiology
Pulmonary Veins / physiopathology
Pulmonary Veins / surgery*
Suture Techniques
Treatment Outcome