Cardiac Tamponade Due to Right Ventricle Perforation: A Rare Complication of Catheter Ablation for Ventricular Tachycardia Storm

Cardiac tamponade is a rare but fatal complication of catheter ablation. We are reporting a case of a 73-year-old male with ventricular tachycardia (VT) storm undergoing urgent VT ablation, who was later found to have right ventricle (RV) perforation—an unusual site for catheter ablation complicatio...

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Main Authors: Annisa Puspitasari Nachrowi, Simon Salim, Angga Pramudita, Muhammad Yamin
Format: Article
Language:English
Published: Interna Publishing 2024-10-01
Series:Acta Medica Indonesiana
Subjects:
Online Access:https://actamedindones.org/index.php/ijim/article/view/2493
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author Annisa Puspitasari Nachrowi
Simon Salim
Angga Pramudita
Muhammad Yamin
author_facet Annisa Puspitasari Nachrowi
Simon Salim
Angga Pramudita
Muhammad Yamin
author_sort Annisa Puspitasari Nachrowi
collection DOAJ
description Cardiac tamponade is a rare but fatal complication of catheter ablation. We are reporting a case of a 73-year-old male with ventricular tachycardia (VT) storm undergoing urgent VT ablation, who was later found to have right ventricle (RV) perforation—an unusual site for catheter ablation complication. The patient underwent isochronal late activation mapping (ILAM)-based ablation and elimination of local abnormal ventricular activities (LAVA). After procedure, his blood pressure rapidly decreased, and he was found to have cardiac tamponade. The tamponade was recurring despite of pericardial pigtail placement; thus, the patient was prepared for open-heart surgery. To preserve blood, auto transfusion was used as a bridging therapy.
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institution Kabale University
issn 0125-9326
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language English
publishDate 2024-10-01
publisher Interna Publishing
record_format Article
series Acta Medica Indonesiana
spelling doaj-art-0676a4b82e84431297bc07d1737b89862025-01-27T04:12:06ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322024-10-01564698Cardiac Tamponade Due to Right Ventricle Perforation: A Rare Complication of Catheter Ablation for Ventricular Tachycardia StormAnnisa Puspitasari Nachrowi0Simon Salim1Angga Pramudita2Muhammad Yamin3Division of Cardiology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, IndonesiaCardiac tamponade is a rare but fatal complication of catheter ablation. We are reporting a case of a 73-year-old male with ventricular tachycardia (VT) storm undergoing urgent VT ablation, who was later found to have right ventricle (RV) perforation—an unusual site for catheter ablation complication. The patient underwent isochronal late activation mapping (ILAM)-based ablation and elimination of local abnormal ventricular activities (LAVA). After procedure, his blood pressure rapidly decreased, and he was found to have cardiac tamponade. The tamponade was recurring despite of pericardial pigtail placement; thus, the patient was prepared for open-heart surgery. To preserve blood, auto transfusion was used as a bridging therapy.https://actamedindones.org/index.php/ijim/article/view/2493ablationcomplicationcardiac tamponadeventricular tachycardiaright ventricle perforation
spellingShingle Annisa Puspitasari Nachrowi
Simon Salim
Angga Pramudita
Muhammad Yamin
Cardiac Tamponade Due to Right Ventricle Perforation: A Rare Complication of Catheter Ablation for Ventricular Tachycardia Storm
Acta Medica Indonesiana
ablation
complication
cardiac tamponade
ventricular tachycardia
right ventricle perforation
title Cardiac Tamponade Due to Right Ventricle Perforation: A Rare Complication of Catheter Ablation for Ventricular Tachycardia Storm
title_full Cardiac Tamponade Due to Right Ventricle Perforation: A Rare Complication of Catheter Ablation for Ventricular Tachycardia Storm
title_fullStr Cardiac Tamponade Due to Right Ventricle Perforation: A Rare Complication of Catheter Ablation for Ventricular Tachycardia Storm
title_full_unstemmed Cardiac Tamponade Due to Right Ventricle Perforation: A Rare Complication of Catheter Ablation for Ventricular Tachycardia Storm
title_short Cardiac Tamponade Due to Right Ventricle Perforation: A Rare Complication of Catheter Ablation for Ventricular Tachycardia Storm
title_sort cardiac tamponade due to right ventricle perforation a rare complication of catheter ablation for ventricular tachycardia storm
topic ablation
complication
cardiac tamponade
ventricular tachycardia
right ventricle perforation
url https://actamedindones.org/index.php/ijim/article/view/2493
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AT simonsalim cardiactamponadeduetorightventricleperforationararecomplicationofcatheterablationforventriculartachycardiastorm
AT anggapramudita cardiactamponadeduetorightventricleperforationararecomplicationofcatheterablationforventriculartachycardiastorm
AT muhammadyamin cardiactamponadeduetorightventricleperforationararecomplicationofcatheterablationforventriculartachycardiastorm