Percutaneous epicardial ablation reverses ventricular tachycardia mediated cardiomyopathy.
We report on the case of an 18-year-old girl with asymptomatic incessant ventricular tachycardia. Initial attempts at endocardial ablation failed and she was monitored until her cardiac function deteriorated. A percutaneous epicardial approach with electroanatomical mapping was then used which successfully terminated the tachycardia. Left ventricular size and function subsequently returned to normal. This case demonstrates that percutaneous epicardial ablation of ventricular tachycardia is safe and feasible in young patients and highlights the importance of recognising this at an early stage.
Liew
Reginald
R
Department of Cardiology, St. Bartholomew's Hospital, Dominion House, West Smithfield, London, EC1A 7BE, UK. r.liew@imperial.ac.uk
Rajappan
Kim
K
Gupta
Dhiraj
D
Kistler
Peter
P
Schilling
Richard
R
D000293:Adolescent; D018780:Body Surface Potential Mapping; D009202:Cardiomyopathies / Q000150:complications*; D017115:Catheter Ablation; D005260:Female; D006801:Humans; D017180:Tachycardia, Ventricular / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*