Ablation of Left Ventricular Tachycardia via Transeptal Approach and Crossing of a Mechanical Mitral Valve Prosthesis

Autor:	S. Serge Barold, Debbie Rinde-Hoffman, Christiano C. Caldeira, Cedric D. Sheffield, Bengt Herweg, Arzu Ilercil
Rok vydání:	2010
Předmět:	Tachycardia medicine.medical_specialty Mitral regurgitation business.industry medicine.medical_treatment Catheter ablation General Medicine Implantable cardioverter-defibrillator Ventricular tachycardia medicine.disease Surgery medicine.anatomical_structure Mechanical Mitral Valve Internal medicine Mitral valve cardiovascular system medicine Cardiology Heart valve medicine.symptom Cardiology and Cardiovascular Medicine business
Zdroj:	Pacing and Clinical Electrophysiology. 33:900-903
ISSN:	0147-8389
DOI:	10.1111/j.1540-8159.2009.02678.x
Popis:	This report describes the clinical course of a patient with left ventricular assist device (LVAD) and refractory ventricular tachycardia (VT) who underwent successful left ventricular (LV) mapping and ablation complicated by the presence of a bioprosthetic aortic and a mechanical mitral valve. LV catheterization was achieved by crossing the mechanical valve. The patient remained hemodynamically stable during the procedure most likely as a result of LVAD support. There were no complications. A recurrence of monomorphic VT 2 months later required a second VT ablation procedure using the same transseptal-transmitral approach. The patient has since been free of implantable cardioverter defibrillator shocks for 2 months since the second procedure.
Databáze:	OpenAIRE
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