title: Epicardial unipolar radiofrequency ablation for left ventricular aneurysm related ventricular arrhythmia.
abstract: We report a case of a 62-year-old Chinese man with typical triple-vessel lesions and apical left ventricular aneurysm accompanied with ventricular tachycardia. Off-pump coronary artery bypass (OPCAB) grafting was performed in combination with epicardial unipolar radiofrequency ablation and linear closure of left ventricular aneurysm. The patient recovered well without postoperative complications. Holter monitoring showed no recurrence of the ventricular arrhythmia and the attack frequency of arrhythmia decreased significantly. The patient has been angina-free for 25 months since the operation and shows increasing exercise tolerance. Thus, left ventricular aneurysm plication combined with epicardial unipolar radiofrequency ablation during OPCAB may be beneficial for patients with ventricular aneurysm and preoperative malignant ventricular arrhythmia.
authors: Department of Cardiac Surgery Beijing An Zhen Hospital, Capital Medical University, Beijing, 100029, China.
authors: Yang
authors: Y
authors: Yu
authors: Ming-xin
authors: MX
authors: Gao
authors: Cheng-xiong
authors: CX
authors: Gu
mesh_terms: D017115:Catheter Ablation; D047549:Coronary Artery Bypass, Off-Pump; D006322:Heart Aneurysm / Q000150:complications / Q000601:surgery*; D006352:Heart Ventricles / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000150:complications / Q000601:surgery*
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