Epicardial ablation of ventricular tachycardia in a patient with arrhythmogenic right ventricular dysplasia after failed conventional endocardial ablation: A case for remote navigation with functional image integration

Authors

  • Sabine Ernst 1 Department of Cardiology, Royal Brompton Hospital, London, UK 2 NIHR Cardiovascular Biomedical Re- search Unit, Royal Brompton and Na- tional Heart and Lung Institute, Impe- rial College London, London, UK
  • Karine Roy Department of Cardiology, Royal Brompton Hospital, London, UK
  • Eric Lim Department of Cardiology, Royal Brompton Hospital, London, UK
  • Glyn Thomas Department of Cardiology, University of Bristol, Bristol, UK

DOI:

https://doi.org/10.21542/gcsp.2016.39

Abstract

Arrhythmogenic right ventricular dysplasia (ARVD) is an inheritable heart muscle disease that predominantly affects the right ventricle (RV) and predisposes to ventricular arrhythmias and sudden cardiac death (SCD)1. The natural history is predominantly related to ventricular electric instability which may lead to arrhythmic SCD, mostly in young people and athletes2,3, but may progress with significant RV muscle disease and left-ventricular (LV) involvement and can result in right or biventricular heart failure4.

We report on a 54-year-old male with ARVD who underwent an epicardial ventricular tachycardia (VT) ablation using remote magnetic navigation (RMN) after functional imaging from a nuclear perfusion study was fused with a 3D segmentation from computed tomography (CT) imaging. 

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Published

2017-03-09

Issue

Vol. 2016 No. 4 (2016)

Section

Images in cardiology

License

This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 4.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.