Vol. 18 No. 4 (2014): Heart Rhythm Disoders (Special Issue)
CASE REPORTS

Epicardial ablation of premature ventricular beat from right ventricular outflow tract following ineffective endocardial ablation

E. Ivanitskiy
Federal Center of Cardiovascular Surgery
Bio
V. Sakovich
Federal Center of Cardiovascular Surgery
Bio
D. Drobot
Federal Center of Cardiovascular Surgery
Bio
A. Yakubov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
V. Shabanov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
A. Romanov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
Ye. Pokushalov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio

Published 2014-10-28

Keywords

  • CATHETER ABLATION,
  • RIGHT VENTRICULAR OUTFLOW TRACT,
  • EPICARDIAL ABLATION

How to Cite

Ivanitskiy, E., Sakovich, V., Drobot, D., Yakubov, A., Shabanov, V., Romanov, A., & Pokushalov, Y. (2014). Epicardial ablation of premature ventricular beat from right ventricular outflow tract following ineffective endocardial ablation. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 18(4), 178–182. https://doi.org/10.21688/1681-3472-2014-4-178-182

Abstract

A case of epicardial ablation of premature ventricular beat (PVB) originating in RVOT outflow tract in an 18-year old patient with frequent symptomatic drug-induced PVB after ineffective endocardial ablation is described. Multiple RF applications by using an irrigated catheter on the side of RVOT turned out ineffective. During epicardial mapping the source of PVB also was in the RVOT area, but with a greater relative and absolute lead. In the course of epicardial ablation, PVB tended to 'heat up', pass into ventricular tachycardia followed by the tatter's arrest and then disappear. At 12-month follow-up the patient showed no ventricular arrhythmias without any antiarrhythmic drugs.

References

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