Stereotactic radiosurgery as a treatment for recurrent ventricular tachycardia associated with cardiac fibroma Jana Haskova, MD, Petr Peichl, MD, PhD,

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Presentation transcript:

Stereotactic radiosurgery as a treatment for recurrent ventricular tachycardia associated with cardiac fibroma Jana Haskova, MD, Petr Peichl, MD, PhD, Jan Pirk, MD, DSc, Jakub Cvek, MD, PhD, Radek Neuwirth, MD, Josef Kautzner, MD, PhD HeartRhythm Case Reports Volume 5, Issue 1, Pages 44-47 (January 2019) DOI: 10.1016/j.hrcr.2018.10.007 Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 1 A: A 2-dimensional echocardiogram (modified parasternal long-axis view) depicting the extent of the intramyocardial cardiac mass localized inferolaterally. B: Positron emission tomography and computed tomography with F-fluorodeoxyglucose image showing low uptake of F-fluorodeoxyglucose within the tumor (maximum standardized uptake value of 3.24 and mean value of 2.0 are within the range typical for benign tumors). C: The extent of the tumor as seen during cardiac surgery and cryoablation probe at the border zone of the tumor. HeartRhythm Case Reports 2019 5, 44-47DOI: (10.1016/j.hrcr.2018.10.007) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 2 A: Electrocardiogram recordings of predominant clinical ventricular tachycardia with right bundle branch block morphology and left axis deviation, suggestive of origin close to the lower septum. B: Three-dimensional electroanatomical bipolar voltage map of the left ventricle (modified left lateral view) showing normal voltage (violet color) and 2 regions of catheter ablation close to the posteromedial papillary muscle and the other superiorly in the basal part of ventricle (black arrows). HeartRhythm Case Reports 2019 5, 44-47DOI: (10.1016/j.hrcr.2018.10.007) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 3 Stereotactic radioablation using acquired computed tomography image in transverse (A) and lateral view (B). Orange boundary indicates distribution zone targeted to the tumor. HeartRhythm Case Reports 2019 5, 44-47DOI: (10.1016/j.hrcr.2018.10.007) Copyright © 2018 Heart Rhythm Society Terms and Conditions