title: Nonsurgical transthoracic mapping and ablation in a child with incessant ventricular tachycardia.
abstract: We report the case of an 11-month-old child with incessant ventricular tachycardia who underwent two unsuccessful endocardial ablations with standard catheters and in whom the ventricular tachycardia was interrupted only during transthoracic epicardial catheter ablation. This report outlines the usefulness and safety of this novel approach in pediatric patients before surgery when endocardial ablation fails.
authors.affiliation: Heart Institute (InCor), University of São Paulo Medical School, Brazil. sosa@incor.usp.br
authors.forename: E
authors.initials: E
authors.lastname: Sosa
authors.forename: M
authors.initials: M
authors.lastname: Scanavacca
authors.forename: A
authors.initials: A
authors.lastname: d'Avila
authors.forename: F
authors.initials: F
authors.lastname: Tondato
authors.forename: R
authors.initials: R
authors.lastname: Kunyoshi
authors.forename: J
authors.initials: J
authors.lastname: Elias
mesh_terms: D017115:Catheter Ablation; D004569:Electroencephalography / Q000379:methods*; D004699:Endocardium / Q000503:physiopathology; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D010496:Pericardium / Q000503:physiopathology; D012086:Reoperation; D017180:Tachycardia, Ventricular / Q000503:physiopathology* / Q000601:surgery*