Concomitant Brugada syndrome substrate ablation and epicardial abdominal cardioverter-defibrillator implantation in a child Carlo de Asmundis, MD, PhD,

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Presentation transcript:

Concomitant Brugada syndrome substrate ablation and epicardial abdominal cardioverter-defibrillator implantation in a child Carlo de Asmundis, MD, PhD, FHRS, Gian Battista Chierchia, MD, PhD, Giannis G. Baltogiannis, MD, Francesca Salghetti, MD, Juan Sieira, MD, Theofilos M. Kolettis, MD, PhD, Kassiani Tasi, MD, Antonios Vlahos, MD, Jens Czapla, MD, Pedro Brugada, MD, PhD, FHRS, Mark La Meir, MD, PhD HeartRhythm Case Reports Volume 4, Issue 6, Pages 214-218 (June 2018) DOI: 10.1016/j.hrcr.2017.12.004 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 A: Twelve-lead electrocardiogram shows a ventricular tachycardia at 250 bpm. B: Twelve-lead ECG shows type 1 Brugada pattern evident in lead V2 after direct current shock. HeartRhythm Case Reports 2018 4, 214-218DOI: (10.1016/j.hrcr.2017.12.004) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 A: Abnormal prolonged low-voltage fractionated electrogram (EGM) recorded from the anterior wall of right ventricular outflow tract epicardium before ablation. B: EGM recorded from the same site after ablation shows disappearance of the mid and late components of the fractionated potentials recorded before ablation. C: Twelve-lead electrocardiogram recorded during ajmaline challenge (1 mg/kg) after ablation was performed is negative for Brugada pattern. Abl D = bipolar ablation distal; Abl D-Uni = unipolar ablation distal; Abl P = bipolar ablation proximal. HeartRhythm Case Reports 2018 4, 214-218DOI: (10.1016/j.hrcr.2017.12.004) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 3 A: Radiograph of the thorax in the anteroposterior view shows the positions of the epicardial leads and the abdominal implantable cardioverter-defibrillator. B: Radiograph of the thorax in the lateral view better shows the position of the distal coil in the transverse sinus of the pericardium. HeartRhythm Case Reports 2018 4, 214-218DOI: (10.1016/j.hrcr.2017.12.004) Copyright © 2017 Heart Rhythm Society Terms and Conditions