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Europace Advance Access published online on September 13, 2007
Europace, doi:10.1093/europace/eum185
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© The European Society of Cardiology 2007. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Radiofrequency ablation of an epicardial ventricular tachycardia through the great cardiac vein in a patient with mitro-aortic mechanical prostheses

Jamal Najjar, Agustín Bortone, Serge Boveda and Jean-Paul Albenque*

Electrophysiology and Pacing/Defibrillation Department, Clinique Pasteur, 43–45, Avenue de Lombez, 31076 Toulouse, France

Aims: Prior cardiac surgery limits epicardial ventricular tachycardia (VT) ablation due to epicardial adhesions formation.

Methods and results: We describe an epicardial VT ablation through the coronary venous system in a patient with mechanical mitro-aortic prostheses. The different possible ablation approaches and their potential limitations are discussed.

Conclusion: In selected patients, especially after cardiac surgery, coronary venous system approach can be considered as a safety possible approach for the ablation of some epicardial VTs.

Key Words: Epicardial ventricular tachycardia, Ablation, Great cardiac vein, Mitro-aortic mechanical prostheses

* Corresponding author. Tel: +33 56221645; fax: +33 562211641.E-mail address: j.albenque{at}clinique-pasteur.com

Manuscript submitted 29 May 2007. Accepted after revision 6 August 2007.


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