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[1例特发性室性心动过速合并心室颤动经冷冻消融和植入式心脏复律除颤器成功治疗的病例]

[A case of idiopathic ventricular tachycardia with ventricular fibrillation successfully treated with cryoablations and implantable cardioverter defibrillator].

作者信息

Nitta T, Tanaka S, Imura H, Terada K, Ikeshita M, Shoji T

机构信息

Second Department of Surgery, Nippon Medical School, Tokyo, Japan.

出版信息

Nihon Kyobu Geka Gakkai Zasshi. 1992 Aug;40(8):1279-84.

PMID:1402174
Abstract

A 16-year-old girl with medically refractory idiopathic ventricular tachycardia (VT) with ventricular fibrillation (VF) underwent cryoablations of the VT origin and received implantable cardioverter defibrillator (ICD). Intraoperative epicardial and endocardial mapping demonstrated the earliest activation site of VT in the infundibular septum of right ventricle. Cryoablations were applied through a pulmonary arteriotomy under mild hypothermic cardiopulmonary bypass with the heart beating. Because of the episodes of VF. ICD implantation was followed. Her postoperative course was uneventful and she remains free from VT and VF.

摘要

一名16岁患有药物难治性特发性室性心动过速(VT)并伴有心室颤动(VF)的女孩接受了室性心动过速起源部位的冷冻消融治疗,并植入了植入式心律转复除颤器(ICD)。术中的心外膜和心内膜标测显示室性心动过速最早的激动部位位于右心室漏斗间隔。在轻度低温体外循环且心脏跳动的情况下,通过肺动脉切开术进行冷冻消融。由于发生心室颤动,随后植入了ICD。她术后恢复顺利,至今未再发生室性心动过速和心室颤动。

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