Open AccessAn uncommon case of inferior vena cava injury during atrial fibrillation ablation
Author(s) -
M. Pastoricchio,
Andrea Dell’Antonio,
Massimo Zecchin,
Elisabetta Bianco,
Annalisa Zucca,
Alan Biloslavo,
Marina Bortul
Publication year - 2020
Publication title -
journal of surgical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.14
H-Index - 3
ISSN - 2042-8812
DOI - 10.1093/jscr/rjaa201
Subject(s) - medicine , inferior vena cava , atrial fibrillation , intracardiac injection , ablation , atrial tachycardia , cardiology , right atrium , catheter ablation , surgery , anesthesia
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.