Ventricular Tachycardia Ablation Through a Recanalized Surgically Plicated Left Ventricular Apical Aneurysm

Michael Freilich; Daniel R Musikantow; Srinivas Dukkipati

doi:10.1016/j.jaccas.2024.102299

Ventricular Tachycardia Ablation Through a Recanalized Surgically Plicated Left Ventricular Apical Aneurysm

JACC Case Rep. 2024 Apr 5;29(10):102299. doi: 10.1016/j.jaccas.2024.102299. eCollection 2024 May 15.

Authors

Michael Freilich¹, Daniel R Musikantow², Srinivas Dukkipati²

Affiliations

¹ Department of Medicine, Montefiore Medical Center, Bronx, New York, USA.
² Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Abstract

Left ventricular apical aneurysms are associated with scar-related ventricular tachycardia (VT) in hypertrophic cardiomyopathy patients. We present a patient with apical hypertrophic cardiomyopathy who underwent combined epicardial and endocardial VT ablation of a left ventricular apical aneurysm, necessitating repeat endocardial VT ablation through a recanalized surgical plication.

Keywords: endocardial ablation; epicardial ablation; hypertrophic cardiomyopathy; ventricular tachycardia.

Publication types

Case Reports