Key result
Epicardial ablation via re-median sternotomy eliminates recurrent VT for 15 months in a double-valve patient.
Why the study?
Does epicardial ablation via re-median sternotomy prevent VT recurrence in a patient with double mechanical heart valves?
Case Report (n=1)
No
Does epicardial ablation via re-median sternotomy prevent VT recurrence in a patient with double mechanical heart valves?
Epicardial ablation via re-median sternotomy is a feasible and effective treatment for refractory ventricular tachycardia in patients with double mechanical heart valves where endocardial access is precluded.
症例は39歳，男性．17年前にリウマチ性弁膜症に対し，機械弁を用い大動脈弁置換術，僧帽弁置換術，三尖弁形成術，MAZE手術を施行されていた．今回，意識消失を主訴に近医に救急搬送となり，VT（Ventricular Tachycardia) と診断され，電気的除細動後に当院へ転送された．ICD（Implantable cardioverter-defibrillator)
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Suzuki et al. (2021) conducted a case report in Ventricular Tachycardia (n=1). Epicardial ablation by re-median sternotomy was evaluated on Ventricular tachycardia recurrence. Epicardial ablation by re-median sternotomy successfully eliminated recurrent ventricular tachycardia in a patient with double mechanical valves, with 0 recurrences at 15 months.
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