Epicardial open chest ventricular tachycardia ablation in no entry left ventricle.
Rani KronenbergerLuigi PannoneCarlos De AsmundisMark La MeirPublished in: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (2023)
A 57-year-old patient with a history of aortic and mitral mechanical valve replacement was admitted with recurrent implantable cardioverter device shocks and antitachycardia pacing therapies. On electrocardiogram, the clinical ventricular tachycardia (VT) was compatible with an antero-lateral peri-mitral basal exit. Because of the inability to access the left ventricle through a percutaneous approach, epicardial VT ablation was performed. The VT and a second VT, consistently induced and coming from the left ventricular apex, were successfully treated with epicardial cryoablation via median sternotomy under cardiopulmonary bypass.
Keyphrases
- mitral valve
- left ventricular
- cardiac resynchronization therapy
- minimally invasive
- aortic stenosis
- left atrial
- radiofrequency ablation
- aortic valve
- aortic valve replacement
- heart failure
- hypertrophic cardiomyopathy
- pulmonary artery
- acute myocardial infarction
- diabetic rats
- pulmonary hypertension
- case report
- transcatheter aortic valve replacement
- transcatheter aortic valve implantation
- catheter ablation
- ejection fraction
- percutaneous coronary intervention
- oxidative stress
- coronary artery disease
- acute coronary syndrome