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Severe coronary artery spasm repeatedly induced after left pulmonary vein isolation in patient with atrial fibrillation  Nobuhiro Honda, MD, Susumu Takase,

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Presentation on theme: "Severe coronary artery spasm repeatedly induced after left pulmonary vein isolation in patient with atrial fibrillation  Nobuhiro Honda, MD, Susumu Takase,"— Presentation transcript:

1 Severe coronary artery spasm repeatedly induced after left pulmonary vein isolation in patient with atrial fibrillation  Nobuhiro Honda, MD, Susumu Takase, MD, Hideki Tashiro, MD  HeartRhythm Case Reports  Volume 4, Issue 11, Pages (November 2018) DOI: /j.hrcr Copyright © 2018 Heart Rhythm Society Terms and Conditions

2 Figure 1 A: Twelve-lead electrocardiography with ST-segment elevation in II, III aVF; reciprocal ST-segment depression in I, aVL; and complete atrioventricular block. B: Coronary angiogram showing an obstruction in midportion of right coronary artery. C: Coronary angiogram showing a shrinkage of and diffuse slow flow in left coronary artery. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

3 Figure 2 A: Twelve-lead electrocardiography with improved ST-segment elevation in II, III, and aVF; reciprocal ST-segment depression in I, aVL; and complete atrioventricular block. B: Coronary angiogram showing an improvement in right coronary artery obstruction. C: Coronary angiogram showing an improvement in diffuse slow flow of left coronary artery and a remained shrinkage. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

4 Figure 3 A: Twelve-lead electrocardiography with recurrent ST-segment elevation in II, III, and aVF; reciprocal ST-segment depression in I, aVL; and complete atrioventricular block. B: Coronary angiogram showing the recurrent obstruction of right coronary artery. C: Coronary angiogram showing the recurrent shrinkage of and diffuse slow flow in left coronary artery. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

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