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Constrictive Pericarditis Presenting as a Late Complication of Epicardial Ventricular Tachycardia Ablation
- 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 …
- Subjects :
- Male
Constrictive pericarditis
Tachycardia
Cardiac Catheterization
medicine.medical_specialty
Pericardial constriction
Hemopericardium
Ventricular tachycardia
Right ventricular cardiomyopathy
Diagnosis, Differential
Cardiac magnetic resonance imaging
Internal medicine
medicine
Humans
medicine.diagnostic_test
business.industry
Pericarditis, Constrictive
Middle Aged
medicine.disease
Echocardiography
Heart failure
Catheter Ablation
Tachycardia, Ventricular
Cardiology
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Pericardium
Subjects
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