Stereotactic radiosurgery as a treatment for recurrent ventricular tachycardia associated with cardiac fibroma

Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F19%3A00078428" target="_blank" >RIV/00023001:_____/19:00078428 - isvavai.cz</a>
Alternative codes found
RIV/00843989:_____/19:E0107649
Result on the web
<a href="https://www.sciencedirect.com/science/article/pii/S2214027118302471" target="_blank" >https://www.sciencedirect.com/science/article/pii/S2214027118302471</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.hrcr.2018.10.007" target="_blank" >10.1016/j.hrcr.2018.10.007</a>

Result language
angličtina
Original language name
Stereotactic radiosurgery as a treatment for recurrent ventricular tachycardia associated with cardiac fibroma
Original language description
Our case highlights multiple therapeutic options for VT in a patient with nonresectable cardiac fibroma. To prevent sudden cardiac death, an ICD was implanted. During the exploratory surgery, epicardial cryoablation was performed on a beating heart with the prospect of interruption of border zones of presumed reentry circuits. The effect was transient, and incessant VT of 2 morphologies recurred despite amiodarone therapy. Subsequent endocardial ablation was able to suppress 1 of the 2 VTs, which appeared to be related to scar tissue in the basal anterolateral segment of the left ventricle. The other VT, presumably of focal origin, had an origin deep in the myocardium of the inferior wall at the tumor border. Since selective coronary instillation of cold saline did not affect the arrhythmia, we did not proceed with alcohol ablation or with coiling. Owing to incessant runs of VT of a single morphology, stereotactic radiosurgery was considered as the next step of the management, leading to the gradual abolition of residual VT. This strategy was described recently as a viable therapeutic option in patients with structural heart disease and recurrent VT refractory to catheter ablation.
Czech name
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Czech description
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Type
J<sub>SC</sub> - Article in a specialist periodical, which is included in the SCOPUS database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems

Publication year
2019
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

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