Monomorphic ventricular tachycardia: a late complication of percutaneous alcohol septal ablation for hypertrophic cardiomyopathy.
Percutaneous alcohol septal ablation has emerged as a promising treatment option for patients with symptomatic hypertrophic obstructive cardiomyopathy. Although the procedure involves an alcohol-induced myocardial infarction and results in a substrate potentially conducive to re-entrant tachyarrhythmias, late-occurring ventricular arrhythmias have not been described. We report a case of monomorphic ventricular tachycardia occurring several days after alcohol septal ablation. Patients with hypertrophic cardiomyopathy undergoing alcohol septal ablation should be considered for prophylactic placement of implantable cardioverter defibrillator.
McGregor
Jon Brant
JB
University of Texas Medical Branch, Galveston, USA.
Rahman
Atiar
A
Rosanio
Salvatore
S
Ware
David
D
Birnbaum
Yochai
Y
Saeed
Mohammad
M
D000328:Adult; D002312:Cardiomyopathy, Hypertrophic; D017115:Catheter Ablation / Q000009:adverse effects*; D004452:Echocardiography; D004562:Electrocardiography; D000431:Ethanol; D006801:Humans; D008297:Male; D017180:Tachycardia, Ventricular / Q000209:etiology*
D000431:Ethanol