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Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2016

Open Access 01-12-2016 | Case report

Ventricular fibrillation treated by cryotherapy to the right ventricular outflow tract: a case report

Authors: Paramdeep S. Dhillon, Giulia Domenichini, Hanney Gonna, Anthony Li, Nadia Sunni, Michael Mahmoudi, Mark M. Gallagher

Published in: Journal of Medical Case Reports | Issue 1/2016

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Abstract

Background

Arrhythmias originating from the right ventricular outflow tract are generally considered benign but cases of cardiac arrest have been described, usually associated with polymorphic ventricular tachycardia or extrasystoles with short coupling intervals.

Case presentation

We report the case of a 54-year-old Caucasian woman with symptomatic right ventricular outflow tract arrhythmias without structural heart disease who suffered a ventricular fibrillation arrest without prior malignant clinical features. Cryoablation was performed and an implantable cardioverter defibrillator was implanted. She has since been free of arrhythmia for 7 years and has asked that the implantable cardioverter defibrillator not be replaced when the battery becomes depleted.

Conclusions

Although usually benign, right ventricular outflow tract tachycardia can be life-threatening. Even the most malignant cases can be cured by ablation.
Literature
1.
Noda T, Shimizu W, Taguchi A, Aiba T, Satomi K, Suyama K, et al. Malignant entity of idiopathic ventricular fibrillation and polymorphic ventricular tachycardia initiated by premature extrasystoles originating from the right ventricular outflow tract. J Am Coll Cardiol. 2005;46:1288–94.CrossRefPubMed
2.
Viskin S, Rosso R, Rogowski O, Belhassen B. The “short-coupled” variant of right ventricular outflow ventricular tachycardia: a not-so-benign form of benign ventricular tachycardia? J Cardiovasc Electrophysiol. 2005;16:912–6.CrossRefPubMed
3.
Leenhardt A, Glaser E, Burguera M, Nurnberg M, Maison-Blanche P, Coumel P. Short-coupled variant of torsade de pointes. A new electrocardiographic entity in the spectrum of idiopathic ventricular tachyarrhythmias. Circulation. 1994;89:206–15.CrossRefPubMed
4.
The Antiarrhythmics versus Implantable Defibrillators (AVID) Investigators. A comparison of antiarrhythmic-drug therapy with implantable defibrillators in patients resuscitated from near-fatal ventricular arrhythmias. N Engl J Med. 1997;337:1576–83.CrossRef
5.
Bastiaenen R, Pantazis A, Gonna H, Chis-Ster I, Castelletti S, Batchvarov VN, et al. The ventricular ectopic QRS interval (VEQSI): diagnosis of arrhythmogenic right ventricular cardiomyopathy in patients with incomplete disease expression. Heart Rhythm. 2016;13:1504–12.CrossRefPubMed
6.
Bastiaenen R, Gonna H, Merghani A, Valencia O, Camm AJ, Gallagher MM. The ventricular ectopic QS interval (VEQSI): a potential marker for ventricular arrhythmia in ischaemic heart disease. JACC Clin Electrophysiol. 2016; in press. doi.org/10.​1016/​j.​jacep.​2016.​04.​005.
7.
Kitaguchi T, Moriyama Y, Taniguchi T, Ojima A, Ando H, Uda T, et al. CSAHi study: Evaluation of multi-electrode array in combination with human iPS cell-derived cardiomyocytes to predict drug-induced QT prolongation and arrhythmia--effects of 7 reference compounds at 10 facilities. J Pharmacol Toxicol Methods. 2016;78:93–102.CrossRefPubMed
8.
Haissaguerre M, Shoda M, Jais P, Nogami A, Shah DC, Kautzner J, et al. Mapping and ablation of idiopathic ventricular fibrillation. Circulation. 2002;106:962–7.CrossRefPubMed
Metadata
Title
Ventricular fibrillation treated by cryotherapy to the right ventricular outflow tract: a case report
Authors
Paramdeep S. Dhillon
Giulia Domenichini
Hanney Gonna
Anthony Li
Nadia Sunni
Michael Mahmoudi
Mark M. Gallagher
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2016
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-016-1032-2

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