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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 Kiedrowicz1, Maciej Wielusiński1, Jarosław Kaźmierczak1, Małgorzata Peregud-Pogorzelska1, Mirosław Brykczyński2
Folia Cardiologica 2018;13(3):270-273.

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.

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