Skip to main content
Top
Published in: Pediatric Cardiology 6/2010

01-08-2010 | Case Report

Epicardial Ablation of Ventricular Tachycardia in a Child on Venoarterial Extracorporeal Membrane Oxygenation

Authors: Vincent Thomas, David Lawrence, Brian Kogon, Patricio Frias

Published in: Pediatric Cardiology | Issue 6/2010

Login to get access

Abstract

Epicardial catheter ablation has been demonstrated to be safe and effective in adults, but there are limited reports in the pediatric population. We report the epicardial ablation of an incessant, hemodynamically compromising ventricular tachycardia in a 13-month-old patient on venoarterial extracorporeal membrane oxygenation. The procedure resulted in elimination of tachycardia substrate with improved cardiac size and function at follow-up. Despite a reasonable long-term outcome in this child, epicardial ablation in young patients should be reserved for similarly dire circumstances.
Literature
1.
go back to reference Brugada J, Berruezo A, Cuesta A, Osca J, Chueca E, Fosch X et al (2003) Nonsurgical transthoracic epicardial radiofrequency ablation: An alternative in incessant ventricular tachycardia. J Am Coll Cardiol 11:2036–2043CrossRef Brugada J, Berruezo A, Cuesta A, Osca J, Chueca E, Fosch X et al (2003) Nonsurgical transthoracic epicardial radiofrequency ablation: An alternative in incessant ventricular tachycardia. J Am Coll Cardiol 11:2036–2043CrossRef
2.
go back to reference d’Avila A (2008) Epicardial catheter ablation of ventricular tachycardia. Heart Rhythm 6(Suppl):S73–S75CrossRef d’Avila A (2008) Epicardial catheter ablation of ventricular tachycardia. Heart Rhythm 6(Suppl):S73–S75CrossRef
3.
go back to reference De Ponti R, Tritto M, Marazzi R, Salerno-Uriarte JA (2003) How to approach epicardial ventricular tachycardia: Electroanatomical mapping and ablation by transpericardial nonsurgical approach. Europace 1:55–56CrossRef De Ponti R, Tritto M, Marazzi R, Salerno-Uriarte JA (2003) How to approach epicardial ventricular tachycardia: Electroanatomical mapping and ablation by transpericardial nonsurgical approach. Europace 1:55–56CrossRef
4.
go back to reference Liew R, Rajappan K, Gupta D, Kistler P, Schilling R (2007) Percutaneous epicardial ablation reverses ventricular tachycardia mediated cardiomyopathy. J Interv Card Electrophysiol 3:265–267CrossRef Liew R, Rajappan K, Gupta D, Kistler P, Schilling R (2007) Percutaneous epicardial ablation reverses ventricular tachycardia mediated cardiomyopathy. J Interv Card Electrophysiol 3:265–267CrossRef
5.
go back to reference Pokushalov E, Turov A, Shugayev P, Artyomenko S, Shirokova N (2009) Successful epicardial catheter ablation of micro-reentrant ventricular tachycardia in a 14-year-old child. Pediatr Cardiol 30:533–535CrossRefPubMed Pokushalov E, Turov A, Shugayev P, Artyomenko S, Shirokova N (2009) Successful epicardial catheter ablation of micro-reentrant ventricular tachycardia in a 14-year-old child. Pediatr Cardiol 30:533–535CrossRefPubMed
6.
go back to reference Soejima K, Couper G, Cooper JM, Sapp JL, Epstein LM, Stevenson WG (2004) Subxiphoid surgical approach for epicardial catheter-based mapping and ablation in patients with prior cardiac surgery or difficult pericardial access. Circulation 10:1197–1201CrossRef Soejima K, Couper G, Cooper JM, Sapp JL, Epstein LM, Stevenson WG (2004) Subxiphoid surgical approach for epicardial catheter-based mapping and ablation in patients with prior cardiac surgery or difficult pericardial access. Circulation 10:1197–1201CrossRef
7.
go back to reference Sosa E, Scanavacca M (2007) Images in cardiovascular medicine. Percutaneous pericardial access for mapping and ablation of epicardial ventricular tachycardias. Circulation 21:e542–e544CrossRef Sosa E, Scanavacca M (2007) Images in cardiovascular medicine. Percutaneous pericardial access for mapping and ablation of epicardial ventricular tachycardias. Circulation 21:e542–e544CrossRef
8.
go back to reference Sosa E, Scanavacca M, d’Avila A, Pilleggi F (1996) A new technique to perform epicardial mapping in the electrophysiology laboratory. J Cardiovasc Electrophysiol 6:531–536CrossRef Sosa E, Scanavacca M, d’Avila A, Pilleggi F (1996) A new technique to perform epicardial mapping in the electrophysiology laboratory. J Cardiovasc Electrophysiol 6:531–536CrossRef
9.
go back to reference Sosa E, Scanavacca M, d’Avila A, Tondato F, Kunyoshi R, Elias J (2000) Nonsurgical transthoracic mapping and ablation in a child with incessant ventricular tachycardia. J Cardiovasc Electrophysiol 2:208–210CrossRef Sosa E, Scanavacca M, d’Avila A, Tondato F, Kunyoshi R, Elias J (2000) Nonsurgical transthoracic mapping and ablation in a child with incessant ventricular tachycardia. J Cardiovasc Electrophysiol 2:208–210CrossRef
10.
go back to reference Soult Rubio JA, Lopez Castilla JD, Arenas MD, Barrera M, Tovaruela A, Pedrote A et al (1995) Surgical cryoablation in a child with malignant ventricular tachycardia refractory to drugs and radiofrequency ablation. Rev Esp Cardiol 1:72–74 Soult Rubio JA, Lopez Castilla JD, Arenas MD, Barrera M, Tovaruela A, Pedrote A et al (1995) Surgical cryoablation in a child with malignant ventricular tachycardia refractory to drugs and radiofrequency ablation. Rev Esp Cardiol 1:72–74
11.
go back to reference Swarup V, Morton JB, Arruda M, Wilber DJ (2002) Ablation of epicardial macroreentrant ventricular tachycardia associated with idiopathic nonischemic dilated cardiomyopathy by a percutaneous transthoracic approach. J Cardiovasc Electrophysiol 11:1164–1168CrossRef Swarup V, Morton JB, Arruda M, Wilber DJ (2002) Ablation of epicardial macroreentrant ventricular tachycardia associated with idiopathic nonischemic dilated cardiomyopathy by a percutaneous transthoracic approach. J Cardiovasc Electrophysiol 11:1164–1168CrossRef
12.
go back to reference Zei PC, Stevenson WG (2006) Epicardial catheter mapping and ablation of ventricular tachycardia. Heart Rhythm 3:360–363CrossRefPubMed Zei PC, Stevenson WG (2006) Epicardial catheter mapping and ablation of ventricular tachycardia. Heart Rhythm 3:360–363CrossRefPubMed
Metadata
Title
Epicardial Ablation of Ventricular Tachycardia in a Child on Venoarterial Extracorporeal Membrane Oxygenation
Authors
Vincent Thomas
David Lawrence
Brian Kogon
Patricio Frias
Publication date
01-08-2010
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 6/2010
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-010-9734-5

Other articles of this Issue 6/2010

Pediatric Cardiology 6/2010 Go to the issue