title: A novel treatment strategy for therapy refractory ventricular arrhythmias in the setting of arrhythmogenic right ventricular dysplasia.
abstract: Arrhythmogenic right ventricular dysplasia (ARVD) is a major cause of ventricular tachycardia and cardiac arrest in young adults. The ideal management of this genetic disorder is individual. The treatment options are antiarrhythmic drug therapy, transcatheter radiofrequency catheter ablation, implantable cardioverter defibrillator therapy, and surgical treatment [Kies P, Bootsma M, Bax J, Schalij MJ, van der Wall EE. Arrhythmogenic right ventricular dysplasia/cardiomyopathy: screening, diagnosis, and treatment. Heart Rhythm 2006;3:225-34; Verma A, Kilicaslan F, Schweikert RA et al. Short- and long-term success of substrate-based mapping and ablation of ventricular tachycardia in arrhythmogenic right ventricular dysplasia. Circulation 2005;111:3209-16]. In the following, we describe a unique case of a young patient, presenting with therapy refractory ventricular arrhythmias in the setting of ARVD, who following failed catheter ablations, has been successfully treated with beating heart cryoablation.
authors.affiliation: OLV Clinic, Cardiovascular and Thoracic Surgery Department, Moorselbaan 164, 9300 Aalst, Belgium. ihsanbak@yahoo.com
authors.forename: Ihsan
authors.initials: I
authors.lastname: Bakir
authors.forename: Pedro
authors.initials: P
authors.lastname: Brugada
authors.forename: Andrea
authors.initials: A
authors.lastname: Sarkozy
authors.forename: Catherine
authors.initials: C
authors.lastname: Vandepitte
authors.forename: Francis
authors.initials: F
authors.lastname: Wellens
mesh_terms: D000293:Adolescent; D001145:Arrhythmias, Cardiac / Q000503:physiopathology / Q000601:surgery*; D019571:Arrhythmogenic Right Ventricular Dysplasia / Q000503:physiopathology / Q000601:surgery*; D003452:Cryosurgery / Q000379:methods*; D006352:Heart Ventricles / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D013249:Sternum / Q000601:surgery