Postintervention Dyspnea after Radiofrequency Catheter Ablation: Think of a Phrenic Nerve Injury

Postintervention Dyspnea after Radiofrequency Catheter Ablation: Think of a Phrenic Nerve Injury

Phrenic nerve injury (PNI) is a rare complication of catheter ablation therapy, most commonly observed in cryoablation of the right side pulmonary veins. We present a case of PNI after radiofrequency catheter ablation that developed acute dyspnea 24 hours after the intervention. Dyspnea is the main...

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Main Authors: Liliana E. Ramos-Villalobos, Luis Colin Lizalde, Manlio F. Márquez, Pedro Iturralde, Francisco Castillo
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2017/6418070
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spelling doaj-8c51ef908b574814a997f0883a87cfb62020-11-24T20:58:50ZengHindawi LimitedCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/64180706418070Postintervention Dyspnea after Radiofrequency Catheter Ablation: Think of a Phrenic Nerve InjuryLiliana E. Ramos-Villalobos0Luis Colin Lizalde1Manlio F. Márquez2Pedro Iturralde3Francisco Castillo4Department of Electrophysiology, Instituto Nacional de Cardiología “Ignacio Chávez”, Mexico City, MexicoDepartment of Electrophysiology, Instituto Nacional de Cardiología “Ignacio Chávez”, Mexico City, MexicoDepartment of Electrophysiology, Instituto Nacional de Cardiología “Ignacio Chávez”, Mexico City, MexicoDepartment of Electrophysiology, Instituto Nacional de Cardiología “Ignacio Chávez”, Mexico City, MexicoDepartment of Cardiovascular Computer Tomography, Instituto Nacional de Cardiologia “Ignacio Chávez”, Mexico City, MexicoPhrenic nerve injury (PNI) is a rare complication of catheter ablation therapy, most commonly observed in cryoablation of the right side pulmonary veins. We present a case of PNI after radiofrequency catheter ablation that developed acute dyspnea 24 hours after the intervention. Dyspnea is the main symptom of PNI, so the diagnosis should always be suspected if it appears after any type of catheter ablation involving the trajectory of the phrenic nerve. There is no specific treatment for PNI. The only maneuver that has been reported to accelerate the recovery of PNI is early stopping of the ablation therapy.http://dx.doi.org/10.1155/2017/6418070
collection DOAJ
language English
format Article
sources DOAJ
author Liliana E. Ramos-Villalobos
Luis Colin Lizalde
Manlio F. Márquez
Pedro Iturralde
Francisco Castillo
spellingShingle Liliana E. Ramos-Villalobos
Luis Colin Lizalde
Manlio F. Márquez
Pedro Iturralde
Francisco Castillo
Postintervention Dyspnea after Radiofrequency Catheter Ablation: Think of a Phrenic Nerve Injury
Case Reports in Cardiology
author_facet Liliana E. Ramos-Villalobos
Luis Colin Lizalde
Manlio F. Márquez
Pedro Iturralde
Francisco Castillo
author_sort Liliana E. Ramos-Villalobos
title Postintervention Dyspnea after Radiofrequency Catheter Ablation: Think of a Phrenic Nerve Injury
title_short Postintervention Dyspnea after Radiofrequency Catheter Ablation: Think of a Phrenic Nerve Injury
title_full Postintervention Dyspnea after Radiofrequency Catheter Ablation: Think of a Phrenic Nerve Injury
title_fullStr Postintervention Dyspnea after Radiofrequency Catheter Ablation: Think of a Phrenic Nerve Injury
title_full_unstemmed Postintervention Dyspnea after Radiofrequency Catheter Ablation: Think of a Phrenic Nerve Injury
title_sort postintervention dyspnea after radiofrequency catheter ablation: think of a phrenic nerve injury
publisher Hindawi Limited
series Case Reports in Cardiology
issn 2090-6404
2090-6412
publishDate 2017-01-01
description Phrenic nerve injury (PNI) is a rare complication of catheter ablation therapy, most commonly observed in cryoablation of the right side pulmonary veins. We present a case of PNI after radiofrequency catheter ablation that developed acute dyspnea 24 hours after the intervention. Dyspnea is the main symptom of PNI, so the diagnosis should always be suspected if it appears after any type of catheter ablation involving the trajectory of the phrenic nerve. There is no specific treatment for PNI. The only maneuver that has been reported to accelerate the recovery of PNI is early stopping of the ablation therapy.
url http://dx.doi.org/10.1155/2017/6418070
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AT pedroiturralde postinterventiondyspneaafterradiofrequencycatheterablationthinkofaphrenicnerveinjury
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