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Constrictive Pericarditis Presenting as a Late Complication of Epicardial Ventricular Tachycardia Ablation

Authors :
David J. Callans
Ali Javaheri
Michael A. Acker
Lee R. Goldberg
Helene L. Glassberg
Source :
Circulation: Heart Failure. 5
Publication Year :
2012
Publisher :
Ovid Technologies (Wolters Kluwer Health), 2012.

Abstract

Radiofrequency epicardial ablation of ventricular tachycardia (VT) is a safe, effective modality for treatment of VT.1 Epicardial VT circuits were originally described in Chagas disease, but the importance of nonendocardial substrates for VT increasingly are recognized in other cardiomyopathies.2 In arrhythmogenic right ventricular cardiomyopathy (ARVC), failure of endocardial VT ablation often is related to epicardial VT origination, with high rates of success seen with epicardial VT ablation.3 While hemopericardium or pericardial inflammation are rare complications of epicardial VT ablation, to our knowledge no case of pericardial constriction and heart failure following epicardial VT ablation has been reported.4 Here we describe a case of pericardial constriction and severe heart failure requiring stripping and “bridge to recovery” right-ventricular assist-device (RVAD) support, which occurred subsequent to recurrent epicardial VT ablations. ### Case Presentation A 46-year-old male who presented with palpitations and episodic syncope underwent cardiac magnetic resonance imaging, which was consistent with ARVC, followed by implantable …

Details

ISSN :
19413297 and 19413289
Volume :
5
Database :
OpenAIRE
Journal :
Circulation: Heart Failure
Accession number :
edsair.doi.dedup.....778976dd95053d2e87f92626ffde9395
Full Text :
https://doi.org/10.1161/circheartfailure.111.965236