Keywords
radiofrequency ablation
myocardial infarction
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How to Cite
Abstract
Radiofrequency catheter ablation (RFA) has been shown to be effective in the treatment of patients with Wolff-Parkinson-White (WPW) syndrome with a low rate of complications, being the acute myocardial infarction (AMI) an
uncommon outcome. We report the case of a 10-year-old patient diagnosed with WPW who underwent radiofrequency ablation, and who after arriving at the intensive care unit presented precordialgia, ST-segment elevation on the electrocardiogram; progressing with an increase in cardiac enzymes and left ventricular function involvement on the echocardiography. An angiography was performed that revealed occlusion in the posterior descending artery.
Medical treatment was instituted (nitroglycerin, anticoagulation with heparin, antiplatelet therapy with acetylsalicylic acid, and beta-blockers).The patient progressed well, being discharged on day 5, with an inverted T wave persisting on the electrocardiogram, and hypomotility in the left ventricular posterior wall and septal dyskinesia on the echocardiogram.
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