First-in-human high-density epicardial mapping and ablation through a left anterior minithoracotomy in an LVAD patient presenting in electrical storm: a case report.
Mustapha El HamritiHenrik FoxPhilipp SommerSebastian V RojasPublished in: European heart journal. Case reports (2021)
To the best of our knowledge, the presented approach is the first interdisciplinary case of epicardial VT ablation using secondary surgical open-heart access in an LVAD patient with therapy-refractory VTs. By combing left-sided minithoracotomy with HD mapping and catheter ablation, we could to demonstrate that even in these complex patients epicardial VT ablations can be performed safely and improve quality of life of LVAD patients with recurrent implantable cardioverter-defibrillator shock therapies.
Keyphrases
- high density
- catheter ablation
- atrial fibrillation
- case report
- end stage renal disease
- left atrial
- high resolution
- left ventricular assist device
- newly diagnosed
- ejection fraction
- endothelial cells
- left atrial appendage
- aortic valve replacement
- heart failure
- prognostic factors
- minimally invasive
- peritoneal dialysis
- coronary artery disease
- bone marrow
- mesenchymal stem cells
- aortic stenosis
- replacement therapy