A Mysterious Bleed: A Case of Spontaneous Spinal Epidural Hematoma After Atrial Fibrillation Ablation

Adrian Whiting; James Ciancarelli; Joseph Germano

doi:10.1016/j.jaccas.2023.101817

A Mysterious Bleed: A Case of Spontaneous Spinal Epidural Hematoma After Atrial Fibrillation Ablation

JACC Case Rep. 2023 Mar 30:13:101817. doi: 10.1016/j.jaccas.2023.101817. eCollection 2023 May 3.

Authors

Adrian Whiting¹, James Ciancarelli², Joseph Germano²

Affiliations

¹ Department of Medicine, NYU Langone Hospital, Long Island, New York, USA.
² Department of Cardiology, NYU Langone Hospital, Long Island, New York, USA.

Abstract

Spontaneous spinal epidural hematoma is an extraordinarily rare condition for which there are only a few hundred documented cases, none in relation to cardiac ablation procedures. This case describes a 71-year-old woman who develops lower extremity numbness and weakness due to spontaneous spinal epidural hematoma after an atrial fibrillation ablation. (Level of Difficulty: Intermediate.).

Keywords: ablation; anticoagulation; atrial fibrillation; cardiac risk.

Publication types

Case Reports