Öz Ahmet, Bozbay Mehmet, Bozbeyoğlu Emrah, Hayıroğlu Mert İlker, Akyol Burcu, Alper Ahmet Taha, Tekkeşin Ahmet İlker, Yıldırımtürk Özlem, Eren Mehmet, Pehlivanoğlu Seçkin
Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Istanbul, Turkey.
Acta Cardiol Sin. 2016 Nov;32(6):744-747. doi: 10.6515/acs20160118a.
Left ventricular (LV) myocardial perforation is a rare complication following ventricular tachycardia (VT) ablation with radiofrequency (RF); this complication should be diagnosed and treated promptly. LV free wall rupture after elective RF ablation for sustained VT refractory to medical treatment is rarely reported in the medical literature. Herein we discuss an interesting case which contributes to the ongoing literature, regarding a patient who developed LV perforation due to RF ablation for VT which was resistant to pharmacotherapy and repeated cardioversion attempts after acute myocardial infarction.
左心室（LV）心肌穿孔是射频（RF）消融室性心动过速（VT）后一种罕见的并发症；这种并发症应及时诊断和治疗。对于药物治疗无效的持续性VT进行择期RF消融后发生左心室游离壁破裂的情况，医学文献中鲜有报道。在此，我们讨论一个有趣的病例，该病例为现有文献增添了内容，患者因急性心肌梗死后对药物治疗和反复电复律均耐药的VT接受RF消融而发生左心室穿孔。
