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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.

DOI:10.1016/j.jaccas.2021.11.018
PMID:35199019
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8855133/
Abstract

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. ().

摘要

一名被诊断为Brugada综合征的38岁男性，在通过剑突下入路成功进行心外膜右心室流出道消融术后6年，出现了单形性室性心动过速复发。术前和术中检查提示右心室流出道的病理基质未被完全消除。因此，该患者接受了混合电生理引导下的电视辅助胸腔镜消融术。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/cb1cb02763c9/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/c194429bae42/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/a9a1eb6bcce3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/130f834f018b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/d084a49490e7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/85a6bd8727f3/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/838fc341e012/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/3210cfdd06d8/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/4a7bc5f6c382/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/cb1cb02763c9/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/c194429bae42/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/a9a1eb6bcce3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/130f834f018b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/d084a49490e7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/85a6bd8727f3/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/838fc341e012/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/3210cfdd06d8/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/4a7bc5f6c382/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907c/8855133/cb1cb02763c9/gr8.jpg

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Catheter Ablation for Brugada Syndrome.布加综合征的导管消融治疗
Korean Circ J. 2020 Apr;50(4):289-301. doi: 10.4070/kcj.2019.0344. Epub 2019 Dec 3.
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Hybrid thoracoscopic epicardial ablation of right ventricular outflow tract in patients with Brugada syndrome.杂交胸腔镜心外膜消融治疗 Brugada 综合征患者右心室流出道。
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杂交视频辅助胸腔镜手术治疗 Brugada 综合征时的三维标测挑战
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