title: Radiofrequency ablation of an epicardial ventricular tachycardia through the great cardiac vein in a patient with mitro-aortic mechanical prostheses.
abstract: OBJECTIVE
  Prior cardiac surgery limits epicardial ventricular tachycardia (VT) ablation due to epicardial adhesions formation.
  
  
  RESULTS
  We describe an epicardial VT ablation through the coronary venous system in a patient with mechanical mitro-aortic prostheses. The different possible ablation approaches and their potential limitations are discussed.
  
  
  CONCLUSIONS
  In selected patients, especially after cardiac surgery, coronary venous system approach can be considered as a safety possible approach for the ablation of some epicardial VTs.
authors.affiliation: Electrophysiology and Pacing/Defibrillation Department, Clinique Pasteur, 43-45, Avenue de Lombez, 31076 Toulouse, France.
authors.forename: Jamal
authors.initials: J
authors.lastname: Najjar
authors.forename: Agustín
authors.initials: A
authors.lastname: Bortone
authors.forename: Serge
authors.initials: S
authors.lastname: Boveda
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Albenque
mesh_terms: D001021:Aortic Valve / Q000601:surgery; D017115:Catheter Ablation / Q000379:methods*; D003331:Coronary Vessels; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000601:surgery*