Successful percutaneous epicardial catheter ablation of ventricular tachycardia arising from the crux of the heart in a patient with prior coronary artery bypass grafting

Naoki Yoshida; Takumi Yamada

doi:10.1016/j.joa.2016.04.007

Successful percutaneous epicardial catheter ablation of ventricular tachycardia arising from the crux of the heart in a patient with prior coronary artery bypass grafting

Naoki Yoshida, Takumi Yamada

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

A 63-year-old man with a history of remote inferior myocardial infarction and coronary artery bypass grafting (CABG) underwent catheter ablation of ventricular tachycardia (VT). Epicardial catheter ablation of the VT was successful at the crux of the heart despite limited mapping within the pericardial space due to pericardial adhesion. Percutaneous subxiphoidal pericardial approach is usually impossible in patients with a history of open heart surgery due to pericardial adhesions. This report suggested that epicardial VT arising from the crux of the heart could be successfully treated by catheter ablation via subxiphoidal pericardial approach despite pericardial adhesions complicated by prior CABG.

Original language	English (US)
Pages (from-to)	66-68
Number of pages	3
Journal	Journal of Arrhythmia
Volume	33
Issue number	1
DOIs	https://doi.org/10.1016/j.joa.2016.04.007
State	Published - Feb 1 2017
Externally published	Yes

Bibliographical note

Funding Information:
No financial support was provided for this study.

Publisher Copyright:
© 2016 The Authors

Keywords

Crux of the heart
Epicardial catheter ablation
Open heart surgery
Pericardial adhesion
Ventricular tachycardia

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10.1016/j.joa.2016.04.007

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title = "Successful percutaneous epicardial catheter ablation of ventricular tachycardia arising from the crux of the heart in a patient with prior coronary artery bypass grafting",

abstract = "A 63-year-old man with a history of remote inferior myocardial infarction and coronary artery bypass grafting (CABG) underwent catheter ablation of ventricular tachycardia (VT). Epicardial catheter ablation of the VT was successful at the crux of the heart despite limited mapping within the pericardial space due to pericardial adhesion. Percutaneous subxiphoidal pericardial approach is usually impossible in patients with a history of open heart surgery due to pericardial adhesions. This report suggested that epicardial VT arising from the crux of the heart could be successfully treated by catheter ablation via subxiphoidal pericardial approach despite pericardial adhesions complicated by prior CABG.",

keywords = "Crux of the heart, Epicardial catheter ablation, Open heart surgery, Pericardial adhesion, Ventricular tachycardia",

author = "Naoki Yoshida and Takumi Yamada",

note = "Funding Information: No financial support was provided for this study. Publisher Copyright: {\textcopyright} 2016 The Authors",

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AU - Yamada, Takumi

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N2 - A 63-year-old man with a history of remote inferior myocardial infarction and coronary artery bypass grafting (CABG) underwent catheter ablation of ventricular tachycardia (VT). Epicardial catheter ablation of the VT was successful at the crux of the heart despite limited mapping within the pericardial space due to pericardial adhesion. Percutaneous subxiphoidal pericardial approach is usually impossible in patients with a history of open heart surgery due to pericardial adhesions. This report suggested that epicardial VT arising from the crux of the heart could be successfully treated by catheter ablation via subxiphoidal pericardial approach despite pericardial adhesions complicated by prior CABG.

AB - A 63-year-old man with a history of remote inferior myocardial infarction and coronary artery bypass grafting (CABG) underwent catheter ablation of ventricular tachycardia (VT). Epicardial catheter ablation of the VT was successful at the crux of the heart despite limited mapping within the pericardial space due to pericardial adhesion. Percutaneous subxiphoidal pericardial approach is usually impossible in patients with a history of open heart surgery due to pericardial adhesions. This report suggested that epicardial VT arising from the crux of the heart could be successfully treated by catheter ablation via subxiphoidal pericardial approach despite pericardial adhesions complicated by prior CABG.

KW - Crux of the heart

KW - Epicardial catheter ablation

KW - Open heart surgery

KW - Pericardial adhesion

KW - Ventricular tachycardia

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Successful percutaneous epicardial catheter ablation of ventricular tachycardia arising from the crux of the heart in a patient with prior coronary artery bypass grafting

Abstract

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