Trans-right atrial access to the left ventricle for catheter ablation of ventricular tachycardia in patients with mechanical aortic and mitral valves.
Teyyar GökdenizYusuf KaraveliogluTaylan AkgünMuhammet Cihat ÇelikPublished in: Pacing and clinical electrophysiology : PACE (2022)
The presence of mechanical heart valves in both aortic and mitral positions is a significant limitation for traditional left ventricular (LV) access, including retrograde transaortic and/or antegrade interatrial transseptal routes. We present a case of successful catheter ablation for ventricular tachycardia via a traditional transfemoral venous approach, which involves direct puncture of the inferior and medial aspect of the right atrium adjacent to the posteroseptal process of LV (PSPLV). Percutaneous trans-right atrial access to the left ventricle appears to be a safe and feasible method for catheter ablation of ventricular tachycardia in patients with mechanical aortic and mitral valves.
Keyphrases
- catheter ablation
- aortic valve
- left atrial
- aortic stenosis
- left ventricular
- atrial fibrillation
- mitral valve
- aortic valve replacement
- transcatheter aortic valve replacement
- transcatheter aortic valve implantation
- pulmonary artery
- left atrial appendage
- heart failure
- pulmonary hypertension
- hypertrophic cardiomyopathy
- acute myocardial infarction
- cardiac resynchronization therapy
- ultrasound guided
- aortic dissection
- minimally invasive
- congenital heart disease
- pulmonary embolism
- pulmonary arterial hypertension
- percutaneous coronary intervention
- acute coronary syndrome