open access

Vol 13, No 3 (2018)
Electrotherapy
Published online: 2018-07-15
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Successful ablation of incessant epicardial VT guided by limited pace-mapping at open heart surgery. A strategy of choice?

Radosław Marek Kiedrowicz, Maciej Wielusiński, Jarosław Kaźmierczak, Małgorzata Peregud-Pogorzelska, Mirosław Brykczyński
DOI: 10.5603/FC.2018.0052
·
Folia Cardiologica 2018;13(3):270-273.

open access

Vol 13, No 3 (2018)
Electrotherapy
Published online: 2018-07-15

Abstract

A patient presented with incessant ventricular tachycardia (VT) of suspected epicardial origin. The earliest activation of the LV apex, however with negative entrainment and pace-mapping was detected. Diagnosis of cardiac tamponade lead to the repair of the right ventricle apex laceration with an epicardial radiofrequency ablation following limited pace-mapping. Ablation lesions covering left ventricle apical segment rendered the patient VT free.

Abstract

A patient presented with incessant ventricular tachycardia (VT) of suspected epicardial origin. The earliest activation of the LV apex, however with negative entrainment and pace-mapping was detected. Diagnosis of cardiac tamponade lead to the repair of the right ventricle apex laceration with an epicardial radiofrequency ablation following limited pace-mapping. Ablation lesions covering left ventricle apical segment rendered the patient VT free.
Get Citation

Keywords

ventricular tachycardia, cardiac tamponade, epicardial ablation

About this article
Title

Successful ablation of incessant epicardial VT guided by limited pace-mapping at open heart surgery. A strategy of choice?

Journal

Folia Cardiologica

Issue

Vol 13, No 3 (2018)

Pages

270-273

Published online

2018-07-15

DOI

10.5603/FC.2018.0052

Bibliographic record

Folia Cardiologica 2018;13(3):270-273.

Keywords

ventricular tachycardia
cardiac tamponade
epicardial ablation

Authors

Radosław Marek Kiedrowicz
Maciej Wielusiński
Jarosław Kaźmierczak
Małgorzata Peregud-Pogorzelska
Mirosław Brykczyński

References (5)
  1. Tilz RR, Lenarczyk R, Scherr D, et al. Management of ventricular tachycardia in the ablation era: results of the European Heart Rhythm Association Survey. Europace. 2018; 20(1): 209–213.
  2. Yamada T. Catheter ablation of epicardial ventricular tachycardia. Journal of Arrhythmia. 2014; 30(4): 262–271.
  3. Soto-Iglesias D, Acosta J, Penela D, et al. Image-based criteria to identify the presence of epicardial arrhythmogenic substrate in patients with transmural myocardial infarction. Heart Rhythm. 2018; 15(6): 814–821.
  4. Li A, Hayase J, Do D, et al. Hybrid surgical vs percutaneous access epicardial ventricular tachycardia ablation. Heart Rhythm. 2018; 15(4): 512–519.
  5. Michowitz Y, Mathuria N, Tung R, et al. Hybrid procedures for epicardial catheter ablation of ventricular tachycardia: value of surgical access. Heart Rhythm. 2010; 7(11): 1635–1643.

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