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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00843989:_____/19:E0107649

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_SC - Článek v periodiku v databázi SCOPUS

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Rok uplatnění

2019

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

HeartRhythm case reports [online]

ISSN

2214-0271

e-ISSN

—

Svazek periodika

5

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

4

Strana od-do

44-47

Kód UT WoS článku

—

EID výsledku v databázi Scopus

2-s2.0-85057589356