This is the first case of direct coronary angiographies in a patient with sinus node dysfunction due to sinus node artery (SNA) injury during catheter ablation (CA) for a rapid firing of atrial fibrillation from the septal superior vena cava (SVC)–right atrium (RA) junction.
Clinically manifested injury to the coronary arteries during CA procedures for atrial arrhythmias is rare; the prevalence of SNA injury is about 0.09%.
The direction of the SNA should be considered during CA at the septal SVC–RA junction.