학술논문
Trans-apical catheter ablation of ventricular tachycardia in a patient with metallic aortic and mitral valves.
Document Type
Case Study
Source
Subject
*VENTRICULAR tachycardia
*MITRAL valve
*AORTIC valve
*CATHETER ablation
*BODY surface mapping
*MITRAL valve surgery
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Language
ISSN
1749-8090
Abstract
We present a patient with a history of heart failure and metallic aortic and mitral valves surgeries, who required ablation for a drug-refractory left ventricular tachycardia. But the metallic valves prohibited the insertion of catheters via retrograde or via trans-septal approaches. Therefore, we decided to perform catheter ablation by direct left ventricle puncture through a minithoracotomy. The arrhythmia was successfully ablated via of trans-apical approach and did not recur at six months follow-up. Key points: Introduce an alternative route for VT ablation in patients with mechanical aortic and mitral valves. Emphasis on the role of heart team in the management of complex life-threatening arrhythmia. [ABSTRACT FROM AUTHOR]