高危Brugada综合征患者复发性室性心动过速的杂交手术消融

Hybrid Surgical Ablation of Recurrent Ventricular Tachycardia in a Patient With High-Risk Brugada Syndrome.

作者信息

Eltsov Ivan, Monaco Cinzia, Chierchia Gian-Battista, La Meir Mark, de Asmundis Carlo

机构信息

Cardiac Surgery Department, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, Brussels, Belgium.

Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium.

出版信息

JACC Case Rep. 2022 Feb 16;4(4):214-220. doi: 10.1016/j.jaccas.2021.11.018.

A 38-year-old man with a diagnosis of Brugada syndrome had a recurrence of monomorphic ventricular tachycardia 6 years after successful epicardial right ventricular outflow tract ablation by the use of subxiphoid access. Preprocedural and intraprocedural investigations suggested that the pathologic substrate of the right ventricular outflow tract had not been eliminated completely. Therefore, the patient underwent a hybrid electrophysiology-guided video-assisted thoracoscopic ablation. ().