Massive myocardial edema and inflow cannula obstruction due to epicardial surgical ventricular tachycardia cryoablation at time of left ventricular assist device implantation
Key result
Epicardial surgical ventricular tachycardia cryoablation at the time of left ventricular assist device implantation can result in massive myocardial edema and inflow cannula obstruction.
Why the study?
Post-LVAD ventricular tachycardia worsens prognosis, but post-implantation ablation is technically difficult, prompting concurrent surgical ablation to reduce long-term arrhythmia burden.
Population
Patients with end-stage heart failure requiring left ventricular assist device support and concurrent…
Design
Case_report
Authors
Discussion
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Implication
Surgical VT ablation at LVAD implantation may reduce arrhythmia burden; leaves open whether it improves outcomes in end-stage HF.
Study Design
Type
Case Report
Structured PICO
P
Population
Patients with end-stage heart failure requiring left ventricular assist device (LVAD) support and concurrent surgical ventricular tachycardia ablation
I
Intervention
Epicardial surgical ventricular tachycardia cryoablation at the time of left ventricular assist device (LVAD) implantation
Concurrent epicardial surgical VT cryoablation during LVAD implantation may lead to severe complications such as massive myocardial edema and inflow cannula obstruction.
Cite This Study
Rao et al. (2020) conducted a case report in End-stage heart failure with ventricular tachycardia requiring LVAD. Epicardial surgical ventricular tachycardia cryoablation at time of LVAD implantation was evaluated. Epicardial surgical ventricular tachycardia cryoablation at the time of left ventricular assist device implantation can result in massive myocardial edema and inflow cannula obstruction.