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J Thorac Cardiovasc Surg 2005;130:564-565
© 2005 The American Association for Thoracic Surgery

Brief Communication

Successful aortic valve repair for severe aortic insufficiency caused by radiofrequency ablation

Giovanni Melina, MD, PhD a , Riccardo Codecasa, MD a , * , Irene Capecchi, MD a , Maria Luisa Gianfaldoni, MD b , Sergio Bevilacqua, MD a , Carlo Sorbara, MD a , Pier Luigi Stefàno, MD a

a Dipartimento Cuore-Vasi, Azienda Ospedaliero-Universitaria Careggi, Firenze, Italy
b Dipartimento di Cardiologia, Azienda Ospedaliera di Empoli, Firenze, Italy

Received for publication November 9, 2004; accepted for publication December 10, 2004.

* Address for reprints: Riccardo Codecasa, U.O. Cardiochirurgia, Azienda Ospedaliera Careggi, Viale Morgagni 85, 50139 Firenze, Italy (Email: riccardocodecasa@yahoo.com).

The first 20% of the full text of this article appears below.

Valvular lesions after left-sided radiofrequency catheter ablation with the retrograde aortic technique vary from 1% to 8% and are more common in younger patients. 1,2 Go Mitral regurgitation is slightly more frequent than aortic regurgitation (AR), and in both cases lesions cause trivial or mild insufficiency. New-onset valvular lesions are mostly the result of catheter manipulations rather than tissue injury related to radiofrequency energy application. 1 Go A case of aortic leaflet perforation was first described by Seifert and associates, 3 Go but AR was only trivial. The present case report describes a patient who had severe AR after retrograde radiofrequency catheter ablation and underwent successful aortic valve repair. It is hoped that this information provides further insight into the follow-up and management of such a complication.

Clinical Summary

A 50-year-old woman was successfully treated for a Wolff-Parkinson-White syndrome with catheter ablation of a left posterolateral accessory pathway by using a retrograde approach across the aortic valve. . . . [Full Text of this Article]






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