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Right arrow Electrophysiology - arrhythmias

Ann Thorac Surg 2006;82:1091-1093
© 2006 The Society of Thoracic Surgeons

Case report

Intraoperative Electro-Anatomical Mapping and Beating Heart Ablation of Ventricular Tachycardia

Sekar S. Bhavani, MDa, Patrick Tchou, MDb, Mina Chung, MDb, Tamer Fahmy, MDb, A. Marc Gillinov, MDa,*

a Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio
b Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio

Accepted for publication December 8, 2005.

* Address correspondence to Dr Gillinov, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation/F24, 9500 Euclid Ave, Cleveland, OH 44195 (Email: gillinom{at}ccf.org).

In most cases ventricular tachycardia is responsive to antiarrhythmic drug therapy. If antiarrhythmic drugs fail, then percutaneous, endocardial ablation guided by electro-anatomical mapping is usually curative. Occasionally neither of these therapies is successful and surgical ablation is required. Challenges encountered in surgical ablation include application of reliable intraoperative real-time electro-anatomical mapping to identify the focus of ventricular tachycardia and the need for technology that enables ablation on the beating heart. We present a case demonstrating the feasibility of surgical cryoablation of ventricular tachycardia arising from the right ventricle using intraoperative real-time epicardial and endocardial electro-anatomical mapping and argon-based cryoablation.




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E. M. Aliot, W. G. Stevenson, J. M. Almendral-Garrote, F. Bogun, C. H. Calkins, E. Delacretaz, P. D. Bella, G. Hindricks, P. Jais, M. E. Josephson, et al.
EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias: Developed in a partnership with the European Heart Rhythm Association (EHRA), a Registered Branch of the European Society of Cardiology (ESC), and the Heart Rhythm Society (HRS); in collaboration with the American College of Cardiology (ACC) and the American Heart Association (AHA)
Europace, June 1, 2009; 11(6): 771 - 817.
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