Surgical Cryoablation of Drug Resistant Ventricular Tachycardia and Aneurysmectomy of Postinfarction Left Ventricular Aneurysm
Heart failure is usually associated with left ventricle remodelling, wall thickening, and worsening of the systolic function. Ventricular tachycardia is a common and a negative prognostic factor in patients with endocardial scarring following myocardial infarction and aneurysm formation. The authors...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/207851 |
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| author | Marek Pojar Jan Harrer Nedal Omran Martin Vobornik |
| author_facet | Marek Pojar Jan Harrer Nedal Omran Martin Vobornik |
| author_sort | Marek Pojar |
| collection | DOAJ |
| description | Heart failure is usually associated with left ventricle remodelling, wall thickening, and worsening of the systolic function. Ventricular tachycardia is a common and a negative prognostic factor in patients with endocardial scarring following myocardial infarction and aneurysm formation. The authors present a case of a 51-year-old man with ischemic heart disease, who suffered myocardial infarction four years ago. The patient was admitted to the hospital with sustained ventricular tachycardia despite maximal pharmacotherapy and also underwent unsuccessful percutaneous radiofrequency ablation in the right ventricle. Transthoracic echocardiography revealed left ventricle dysfunction with ejection fraction of 25%, aneurysm of the apex of the left ventricle with thrombus formation inside the aneurysm. Surgical therapy consisted of the cryoablation applied at the transitional zone of the scar and viable tissue and the resection of the aneurysm. The patient remained free of any ventricular tachycardia four months later. |
| format | Article |
| id | doaj-art-8347ce92c46a4772824acf34d14c7c04 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-8347ce92c46a4772824acf34d14c7c042025-02-03T01:00:53ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/207851207851Surgical Cryoablation of Drug Resistant Ventricular Tachycardia and Aneurysmectomy of Postinfarction Left Ventricular AneurysmMarek Pojar0Jan Harrer1Nedal Omran2Martin Vobornik3Department of Cardiac Surgery, Faculty of Medicine and University Hospital, Charles University in Prague, Sokolska 581, 500 05 Hradec Kralove, Czech RepublicDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital, Charles University in Prague, Sokolska 581, 500 05 Hradec Kralove, Czech RepublicDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital, Charles University in Prague, Sokolska 581, 500 05 Hradec Kralove, Czech RepublicDepartment of Cardiac Surgery, Faculty of Medicine and University Hospital, Charles University in Prague, Sokolska 581, 500 05 Hradec Kralove, Czech RepublicHeart failure is usually associated with left ventricle remodelling, wall thickening, and worsening of the systolic function. Ventricular tachycardia is a common and a negative prognostic factor in patients with endocardial scarring following myocardial infarction and aneurysm formation. The authors present a case of a 51-year-old man with ischemic heart disease, who suffered myocardial infarction four years ago. The patient was admitted to the hospital with sustained ventricular tachycardia despite maximal pharmacotherapy and also underwent unsuccessful percutaneous radiofrequency ablation in the right ventricle. Transthoracic echocardiography revealed left ventricle dysfunction with ejection fraction of 25%, aneurysm of the apex of the left ventricle with thrombus formation inside the aneurysm. Surgical therapy consisted of the cryoablation applied at the transitional zone of the scar and viable tissue and the resection of the aneurysm. The patient remained free of any ventricular tachycardia four months later.http://dx.doi.org/10.1155/2014/207851 |
| spellingShingle | Marek Pojar Jan Harrer Nedal Omran Martin Vobornik Surgical Cryoablation of Drug Resistant Ventricular Tachycardia and Aneurysmectomy of Postinfarction Left Ventricular Aneurysm Case Reports in Medicine |
| title | Surgical Cryoablation of Drug Resistant Ventricular Tachycardia and Aneurysmectomy of Postinfarction Left Ventricular Aneurysm |
| title_full | Surgical Cryoablation of Drug Resistant Ventricular Tachycardia and Aneurysmectomy of Postinfarction Left Ventricular Aneurysm |
| title_fullStr | Surgical Cryoablation of Drug Resistant Ventricular Tachycardia and Aneurysmectomy of Postinfarction Left Ventricular Aneurysm |
| title_full_unstemmed | Surgical Cryoablation of Drug Resistant Ventricular Tachycardia and Aneurysmectomy of Postinfarction Left Ventricular Aneurysm |
| title_short | Surgical Cryoablation of Drug Resistant Ventricular Tachycardia and Aneurysmectomy of Postinfarction Left Ventricular Aneurysm |
| title_sort | surgical cryoablation of drug resistant ventricular tachycardia and aneurysmectomy of postinfarction left ventricular aneurysm |
| url | http://dx.doi.org/10.1155/2014/207851 |
| work_keys_str_mv | AT marekpojar surgicalcryoablationofdrugresistantventriculartachycardiaandaneurysmectomyofpostinfarctionleftventricularaneurysm AT janharrer surgicalcryoablationofdrugresistantventriculartachycardiaandaneurysmectomyofpostinfarctionleftventricularaneurysm AT nedalomran surgicalcryoablationofdrugresistantventriculartachycardiaandaneurysmectomyofpostinfarctionleftventricularaneurysm AT martinvobornik surgicalcryoablationofdrugresistantventriculartachycardiaandaneurysmectomyofpostinfarctionleftventricularaneurysm |