A Case of Wide Complex Tachycardia in a Patient with a Biventricular Assist Device.
نویسندگان
چکیده
This case report highlights the variety of wide complex tachycardias, and the need for their prompt management, in the growing population of patients with circulatory support devices. We present a case that demonstrates how a wide complex supraventricular tachycardia in a patient with a biventricular assist device can be safely and effectively targeted for treatment using percutaneous radiofrequency catheter ablation, allowing for clinical improvement, weaning of RVAD treatment, and discharge home with LVAD alone.
منابع مشابه
Successful catheter ablation of hemodynamically significant ventricular tachycardia in a patient with biventricular assist device support
Introduction Ventricular assist devices (VADs) are playing a large role in the management of end-stage heart failure. Approximately 35% of patients with a VAD have ventricular arrhythmias within the first month of implantation. Electrophysiologic ablations in the setting of a VAD are limited to left VADs (LVADs). To our knowledge, we describe the first report of ablation of a hemodynamically si...
متن کاملApplication of centrifugal pump in right ventricular failure due to pulmonary artery hypertension. (A case report)
Background: It has not been yet developed a ost suitable method to treat right ventricular failure due to pulmonar artery hypertention resulted from ventricular arrhythia. Though some case reports about patients ready to heart transplant using left assist device or biventral assist device as bridge have been published in Journals, but nocase concerning application of centrifugal pump for treatm...
متن کاملIncessant tachycardia in a patient with advanced heart failure and left ventricular assist device: What is the mechanism?
We present a case of incessant wide-complex tachycardia in a patient with left-ventricular assist device, and discuss the differential diagnosis with an in-depth analysis of the intracardiac tracings during the invasive electrophysiologic study, including interpretation of the relative timing of the fascicular signals during tachycardia and in sinus rhythm, and interpretation of pacing and entr...
متن کاملUnusual fibrillation in the emergency department after fall.
47-year-old man with dilated cardiomyopathy, ambulatory left ventricular assist device (Heartmate II, Thoratec Corporation, Pleasanton, CA), and biventricular pacemaker/ implantable cardioverter-defibrillator (ICD) (St. Jude Medical, St Paul, MN) presented with syncope to a local hospital. He was hemodynamically stable and otherwise asymptomatic. His electrolyte panel was unremarkable. Initial ...
متن کاملImplantable cardioverter-defibrillator in a patient with dextrocardia situs inversus
Background: Dextrocardia is a congenital anomaly, which may have coexistent coronary artery disease (CAD), arrhythmias and conventional indications for device therapy. However, the implantation of transvenous leads can be technically challenging and the approach needs to be tailored to the patient's individual anatomy. Case presentation: A 54-year-old male with dextrocardia situs inversus and i...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of atrial fibrillation
دوره 8 5 شماره
صفحات -
تاریخ انتشار 2016