Cor Vasa 2016, 58(5):e487-e490 | DOI: 10.1016/j.crvasa.2015.11.003

Catheter ablation of incessant ventricular tachycardia in a patient with mechanical cardiac support: A case report

Jozef Mikovčák^a,*, Radek Neuwirth^a, Jakub Střítecký^b, Marian Branny^a

^a Kardiologické oddělení, Nemocnice Podlesí, a. s., Třinec, Česká republika

^b I. interní kardioangiologická klinika, Lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Hradec Králové, Hradec Králové, Česká republika

In this study, we are presenting a patient with a combined heart issue - history of postinfectious cardiomyopathy and a myocardial infarction. HeartWare was implanted in this patient due to the advanced chronic heart failure. Afterwards, he had been suffering from recurrent episodes of ventricular tachycardia (VT), leading to right-sided heart failure even in the presence of functioning left ventricular assist device (LVAD). As a solution, catheter ablation was selected to achieve a decent hemodynamic stability and to bridge the patient to heart transplantation.

Keywords: Catheter ablation; Dilated cardiomyopathy; Incessant ventricular tachycardia; Left-side mechanical circulatory support HeartWare; Orthotopic heart transplantation

Received: August 8, 2015; Revised: November 8, 2015; Accepted: November 13, 2015; Published: October 1, 2016  Show citation