Mapping and Surgical Ablation of Focal Epicardial Left Ventricular Tachycardia

Autor: Elvan, Arif, Sie, Hauw T., Ramdat Misier, Anand R., Linnenbank, Andre C., Delnoy, Peter Paul H. M., de Bakker, Jacques M. T.
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Case Reports in Cardiology.
ISSN: 2090-6404
DOI: 10.1155/2011/471397
Popis: We describe a technical challenge in a 17-year-old patient with incessant epicardial focal ventricular arrhythmia and diminished LV function. Failure of ablation at the earliest activated endocardial site during ectopy suggested an epicardial origin, which was supported by specific electrocardiographic criteria. Epicardial ablation was not possible due to the localization of the origin of the ventricular tachycardia adjacent to the phrenic nerve. Minimal invasive surgical multielectrode high-density epicardial mapping was performed to localize the arrhythmia focus. Epicardial surgical RF ablation resulted in the termination of ventricular ectopy. After 2 years, the patient is still free from arrhythmias.
Databáze: OpenAIRE