[A case of idiopathic ventricular tachycardia with ventricular fibrillation successfully treated with cryoablations and implantable cardioverter defibrillator].
A 16-year-old girl with medically refractory idiopathic ventricular tachycardia (VT) with ventricular fibrillation (VF) underwent cryoablations of the VT origin and received implantable cardioverter defibrillator (ICD). Intraoperative epicardial and endocardial mapping demonstrated the earliest activation site of VT in the infundibular septum of right ventricle. Cryoablations were applied through a pulmonary arteriotomy under mild hypothermic cardiopulmonary bypass with the heart beating. Because of the episodes of VF. ICD implantation was followed. Her postoperative course was uneventful and she remains free from VT and VF.
Nitta
T
T
Second Department of Surgery, Nippon Medical School, Tokyo, Japan.
Tanaka
S
S
Imura
H
H
Terada
K
K
Ikeshita
M
M
Shoji
T
T
D000293:Adolescent; D003452:Cryosurgery; D017147:Defibrillators, Implantable; D005260:Female; D006801:Humans; D017180:Tachycardia, Ventricular / Q000150:complications / Q000601:surgery*; D014693:Ventricular Fibrillation / Q000150:complications / Q000628:therapy*