Epicardial ablation utilizing remote magnetic navigation in a patient with Brugada syndrome and inferior early repolarization

被引:9
作者
Lim, Paul Chun Yih [1 ]
Nademanee, Koonlawee [2 ,3 ]
Lee, Edward Chun Yi [1 ]
Teo, Wee Siong [1 ]
机构
[1] Natl Heart Ctr Singapore, Dept Cardiol, 5 Hosp Dr, Singapore 169609, Singapore
[2] Pacific Rim Electrophysiol Res Inst, Los Angeles, CA USA
[3] Pacific Rim Electrophysiol Res Inst, Bangkok, Thailand
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2018年 / 41卷 / 02期
关键词
ablation; Brugada syndrome; remote magnetic navigation; VENTRICULAR-FIBRILLATION;
D O I
10.1111/pace.13175
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a case of epicardial ablation in a combined Brugada and inferior early repolarization syndrome patient with recurrent defibrillator therapy for spontaneous ventricular fibrillation. Electroanatomic mapping and ablation were achieved with remote magnetic navigation. Highly fractionated electrograms were seen epicardially in the anterior right ventricular outflow tract (RVOT) and at the anterior-inferior right ventricle. Ablation of the RVOT region resulted in resolution Brugada pattern electrocardiogram. The inferior early repolarization persisted despite ablation of the inferior right ventricular epicardium. Our patient remained event free at 12-months follow-up.
引用
收藏
页码:214 / 217
页数:4
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