Epicardial Ablation of Ventricular Tachycardia by Re-median Sternotomy in a Patient with Double Mechanical Heart Valves
- VernacularTitle:機械弁による二弁置換術後遠隔期に心室頻拍を発症し再胸骨正中切開下に心外膜アブレーションを行った1例
- Author:
Masato SUZUKI
1
;
Yohei OHKAWA
1
;
Hideo YOKOYAMA
1
;
Toshiro ITO
1
;
Kiyotaka MORIMOTO
1
;
Shunsuke OHORI
1
Author Information
- Keywords: ventricular tachycardia; epicardial ablation; mechanical valve; re-median sternotomy
- From:Japanese Journal of Cardiovascular Surgery 2021;50(3):174-177
- CountryJapan
- Language:Japanese
- Abstract: The patient is a 39-year-old-man who had rheumatic heart disease and had undergone mitral and aortic valve replacements with mechanical St. Jude prostheses as well as tricuspid valve repair and a MAZE procedure 17 years previously. He was admitted with ventricular tachycardia (VT) and an implantable cardioverter-defibrillator (ICD) was implanted. Four months later, he was admitted again with VT, and attempts to manage the VT with drugs were not successful. We performed electro-anatomical mapping and ablation for VT by re-median sternotomy. His postoperative course was uneventful. At 15 months after surgery, no recurrence of VT was recognized.
