Nonobstructive septal hypertrophy in a young adult provoking recurrent polymorphic ventricular tachycardia successfully treated with transaortic and transventricular.

Slides:

Advertisements

Similar presentations

Implantation of the subcutaneous implantable cardioverter-defibrillator with retroperitoneal generator placement in a child with hypoplastic left heart.

Advertisements

Abnormal epicardial electrophysiologic substrate in patients with early repolarization pattern and reduced left ventricular systolic function: A report.

Ventricular tachycardia in iron man

Prevalence and clinical significance of acquired left coronary artery fistulas after surgical myectomy in patients with hypertrophic cardiomyopathy Aurelio.

A Diagnosis at Hand: Pulmonary Arterial Hypertension

Ellis Rochelson, MD, Lynn Nappo, RN, Robert H. Pass, MD

Wolff-Parkinson-White syndrome due to a left atrial appendage–to–left ventricular connection: A case of a successful pathway elimination from inside of.

Lyme disease and cardiac sarcoidosis: Management of associated ventricular arrhythmias Jorge Romero, MD, FHRS, Ulrich Jorde, MD, Juan Carlos Diaz, MD,

Erroneous shock by an AED: Importance of obtaining AED tracing to prevent inappropriate ICD implantation Brian J. Cross, MD, Mark S. Link, MD, FHRS

Ablation of ventricular tachycardia from the aortic root after transcatheter aortic valve replacement Uma N. Srivatsa, MBBS, MAS, FHRS, Eric J. Nordsieck,

Reduced desmoplakin immunofluorescence signal in arrhythmogenic cardiomyopathy with epicardial right ventricular outflow tract tachycardia Sabina Rosset,

A unique case of pulmonary embolism presenting as a paroxysmal atrial tachycardia instigated only by recumbency and stooping Nagesh Chopra, MD HeartRhythm.

Inappropriate shock from delayed T-wave oversensing by a subcutaneous implantable cardioverter-defibrillator after septal myectomy for hypertrophic cardiomyopathy

Cardiac sarcoidosis mimicking arrhythmogenic right ventricular dysplasia in a patient presenting with monomorphic ventricular tachycardia Ross Biggs,

Iatrogenic atrial septal defect with right-to-left shunt following atrial fibrillation ablation in a patient with arrhythmogenic right ventricular cardiomyopathy

Recurrent commotio cordis: Déjà vu

A 35-year effective treatment of catecholaminergic polymorphic ventricular tachycardia with propafenone Alexandra Marx, MD, Björn Lange, MD, Carsten.

A case of paroxysmal atrioventricular block–induced cardiac arrest

Left ventricle penetration—A rare complication of transseptal puncture and catheter ablation for supraventricular tachycardia Nelson Chavarria, MD, Seth.

Is it bradycardia or something else causing symptoms?

Quinidine effective for the management of ventricular and atrial arrhythmias associated with Brugada syndrome Laura Halperin, BSc, Greg Mellor, MD, Mario.

Ruchit Shah, MD, Vineet Kumar, MD, FHRS HeartRhythm Case Reports

Peripartum Cardiomyopathy Presenting as an Acute Myocardial Infarction

Recurrent idiopathic polymorphic ventricular tachycardia/ventricular fibrillation successfully treated by cardiac sympathetic denervation Faisal Matto,

Local activation delay exacerbates local J-ST elevation in the epicardium: Electrophysiological substrate in Brugada syndrome Naoya Kataoka, MD, PhD,

Nicholas Y. Tan, MD, MS, Chance M. Witt, MD, Christopher J

Volume 11, Issue 1, Pages (January 2014)

A rare case of acute myocardial infarction during extraction of a septally placed implantable cardioverter-defibrillator lead Eric Wierda, MD, LLM, Astrid.

Left ventricular tachycardia ablation in a toddler via a transapical approach: A new tool for the armamentarium Daniel Benhayon, MD, FHRS, John Cogan,

Atrial fibrillation originating from recipient left atrium after an orthotopic heart transplantation Auroa Badin, MD, Jaret Tyler, MD, FHRS, Steven J.

Left axillary active can positioning markedly reduces defibrillation threshold of a transvenous defibrillator failing to defibrillate at maximum output

Bradley D. Brochu, MD, Ahmed Abdi-Ali, MD, Jeffrey Shaw, MD, F

LAMP2 shines a light on cardiomyopathy in an athlete

Wide complex tachycardia in an elderly woman due to Ebstein’s anomaly with two accessory pathways Vlad Radulescu, MD, Joseph Donnelly, MD, Jonathan Willner,

Elisa Ebrille, MD, Fernando M. Contreras-Valdes, MD, Peter J

Finding the right pathway is the key to success

Daniel P. Morin, MD, MPH, FACC, FHRS HeartRhythm Case Reports

Cardiac contractility modulation therapy: Are there superresponders?

Christian Steinberg, MD, Danny Dvir, MD, Andrew D

Early improvement of pacing threshold following primary right coronary angioplasty Fernando Pivatto Júnior, MD, Diego Chemello, MD, ScD, Geris Mazzutti,

Rapid reversal of right ventricular pacing–induced cardiomyopathy by His bundle pacing Amit J. Thosani, MD, FHRS, Emerson Liu, MD, George Shaw, MD, William.

Srinath C. Yeshwant, MD, Mitchell H. Tsai, MD, MMM, Bradley R

A case series and review of the literature regarding coronary artery complications associated with coronary sinus catheter ablation Paul J. Garabelli,

Samuel H. Baldinger, MD, Saurabh Kumar, MD, PhD, Alan D

Atrial Tachycardia in a Patient With Fabry’s Disease

Progressive electrical remodeling in apical hypertrophic cardiomyopathy leading to implantable cardioverter-defibrillator sensing failure during ventricular.

Mitral valve repair results in suppression of ventricular arrhythmias and normalization of repolarization abnormalities in mitral valve prolapse Wael.

Successful treatment of tachycardia-induced cardiomyopathy secondary to dual atrioventricular nodal nonreentrant tachycardia using cryoablation Harold.

Choking-induced cardiac arrest unmasks a diagnosis of catecholaminergic polymorphic ventricular tachycardia Thomas M. Roston, MD, Leenah AlAhmari, Andrew.

An unusual cause of HV prolongation

Incremental value of electroanatomical mapping for the diagnosis of arrhythmogenic right ventricular cardiomyopathy in a patient with sustained ventricular.

Adam J. Small, MD, Eric F. Buch, MD, FHRS, FACC, Daniel R

Abnormal epicardial electrophysiologic substrate in patients with early repolarization pattern and reduced left ventricular systolic function: A report.

Dobutamine-induced midcavitary gradients do not cause dyspnea

Familial long QT syndrome and late development of dilated cardiomyopathy in a child with a KCNQ1 mutation: A case report Kiona Y. Allen, MD, Victoria.

Serious case of the hiccups

Peter Kabunga, MBChB, MRCP, George J. Klein, MD, FHRS, Raymond W

Nishaki Mehta, MD, Benjamin E. Peterson, MD, Roy M. John, MD, PhD

Dana B. Gal, MD, Julianne Wojciak, MS, Jennifer Perera, MD, Ronn E

Majid Husain, MD, Anthony McCanta, MD, FHRS, Anjan S

Implantation of the subcutaneous implantable cardioverter-defibrillator with retroperitoneal generator placement in a child with hypoplastic left heart.

Severe coronary artery spasm repeatedly induced after left pulmonary vein isolation in patient with atrial fibrillation Nobuhiro Honda, MD, Susumu Takase,

Raja Zaghlol, MD, Rama Hritani, MD, Susan O’Donoghue, MD

Syncope on exertion in a young male

Late atrial tachycardia originating from donor pulmonary vein in a double lung transplant recipient Kumar Sanam, MD, Daniel Holmes, RCIS, CCT, Dipak.

Philip M. Chang, MD, FHRS, CEPS, Rahul N. Doshi, MD, FHRS, FACC

Intramural anterolateral mitral annular idiopathic ventricular tachycardia successfully ablated from the atrium Tawseef Dar, MD, Bharath Yarlagadda,

Acquired right atrial appendage to right ventricle accessory pathway in a lateral tunnel Fontan patient: Successful ablation via transconduit approach

Chance M. Witt, MD, Samuel J. Asirvatham, MD, FHRS, Carole A

HeartRhythm Case Reports

Presentation transcript:

Nonobstructive septal hypertrophy in a young adult provoking recurrent polymorphic ventricular tachycardia successfully treated with transaortic and transventricular septal myectomy: A case report Philip Y. Sun, MSc, John P. Bois, MD, Seth H. Sheldon, MD, Samuel J. Asirvatham, MD, FHRS HeartRhythm Case Reports Volume 1, Issue 5, Pages 300-304 (September 2015) DOI: 10.1016/j.hrcr.2015.03.021 Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 1 A 12-lead resting electrocardiogram demonstrating increased voltage consistent with left ventricular hypertrophy and anterolateral ST depression and T-wave inversion consistent with hypertrophic cardiomyopathy. HeartRhythm Case Reports 2015 1, 300-304DOI: (10.1016/j.hrcr.2015.03.021) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 2 A: Parasternal long-axis transthoracic echocardiogram demonstrating marked septal hypertrophy (29 mm) and reverse-curve morphology. B: Continuous wave Doppler echocardiogram through the left ventricular outflow tract in the apical long-axis view without evidence of obstruction (highest recorded gradient was 0.8 m/s). HeartRhythm Case Reports 2015 1, 300-304DOI: (10.1016/j.hrcr.2015.03.021) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 3 Echocardiogram stress test results revealing pronounced ST depressions in the anterior, anterolateral, and inferior leads with ST elevation in AVR. These findings developed 1 minute 50 seconds into a Bruce-protocol stress test and were concerning for ischemia. HeartRhythm Case Reports 2015 1, 300-304DOI: (10.1016/j.hrcr.2015.03.021) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 4 Echocardiogram stress test results revealing polymorphic ventricular tachycardia that developed 4 minutes 6 seconds into a Bruce-protocol stress test (2 minutes 16 seconds after the ST changes described in Figure 3 occurred). HeartRhythm Case Reports 2015 1, 300-304DOI: (10.1016/j.hrcr.2015.03.021) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 5 A: Coronary angiogram demonstrating a large septal perforator (red arrow). B: During systole, marked myocardial bridging is noted (blue arrow). HeartRhythm Case Reports 2015 1, 300-304DOI: (10.1016/j.hrcr.2015.03.021) Copyright © 2015 Heart Rhythm Society Terms and Conditions