Verna E, Repetto S, Saveri C, Forgione N, Merchant S, Binaghi G
Division of Cardiology, Ospedale Multizonale, Varese, Italy.
Eur Heart J. 1992 Jun;13(6):844-6. doi: 10.1093/oxfordjournals.eurheartj.a060267.
We describe a case of fatal myocardial rupture and tamponade following a successful transcoronary chemical ablation of incessant ventricular tachycardia. Pathological examination showed a subepicardial dissection of the heart at the ablation site with fibrous and fatty degeneration of the myocardium. The present report calls for caution, underlying a possible lethal complication of ethanol ablation which has not been described before.
我们描述了一例在成功进行经冠状动脉化学消融治疗无休止性室性心动过速后发生致命性心肌破裂和心包填塞的病例。病理检查显示消融部位心脏的心外膜下剥离,伴有心肌纤维性和脂肪变性。本报告提醒注意,强调了乙醇消融一种此前未被描述过的可能致命并发症。