Ablation of Refractory Papillary Muscle Ventricular Tachycardia Warranting Multiple Adjunctive Ablation Techniques: A Combined Approach for Success

Autor: Mark Pollet, Ben Jenny, Nilesh Mathuria, Austin Howard, Adwait Mehta
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: The Journal of Innovations in Cardiac Rhythm Management
ISSN: 2156-3993
2156-3977
Popis: A 27-year-old male presented to our institution with recurrent unifocal premature ventricular contraction/nonsustained ventricular tachycardia (VT) with associated cardiomyopathy. The patient had undergone three prior ablation procedures with continued arrhythmia. Mapping led to identification of the VT arising from the basal aspect of the left ventricular anterolateral papillary muscle. Conventional ablation techniques were unsuccessful. We incorporated adjunctive ablation techniques in this case that ultimately led to a successful outcome. The present discussion covers the roles of intracardiac echocardiography, induced apnea, and low-ionic irrigation.
Databáze: OpenAIRE