Key result
Epicardial ablation with remote magnetic navigation resolves Brugada ECG pattern in a 12-month case report.
Case Report (n=1)
Epicardial ablation using remote magnetic navigation successfully prevented recurrent ventricular fibrillation in a patient with Brugada syndrome over 12 months.
May guide ablation strategies in refractory combined Brugada-ER syndromes; leaves open durability of VF suppression pending controlled data.
We report a case of epicardial ablation in a combined Brugada and inferior early repolarization syndrome patient with recurrent defibrillator therapy for spontaneous ventricular fibrillation. Electroanatomic mapping and ablation were achieved with remote magnetic navigation. Highly fractionated electrograms were seen epicardially in the anterior right ventricular outflow tract (RVOT) and at the anterior-inferior right ventricle. Ablation of the RVOT region resulted in resolution Brugada pattern electrocardiogram. The inferior early repolarization persisted despite ablation of the inferior right ventricular epicardium. Our patient remained event free at 12-months follow-up.
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Lim et al. (2017) conducted a case report in Combined Brugada and inferior early repolarization syndrome (n=1). Epicardial ablation utilizing remote magnetic navigation was evaluated on Resolution of ECG patterns and freedom from events. Epicardial ablation utilizing remote magnetic navigation resolved the Brugada ECG pattern, and the patient remained event-free at 12-months follow-up.
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