Open AccessBilateral cardiac sympathetic denervation of a recurrent refractory ventricular tachycardia occurring after catheter ablation of atrial fibrillation and outflow tract premature ventricular contractions
Author(s) -
Yagishita Atsuhiko,
Goya Masahiko,
Takahashi Yoshihide,
Ishibashi Hironori,
Akiyoshi Kikou,
Sekigawa Masahiro,
Maeda Shingo,
Kawabata Mihoko,
Okubo Kenichi,
Hirao Kenzo
Publication year - 2019
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1002/joa3.12159
Subject(s) - medicine , cardiology , amiodarone , ventricular tachycardia , refractory (planetary science) , catheter ablation , ablation , ventricular outflow tract , atrial fibrillation , tachycardia , anesthesia , physics , astrobiology
Recent studies have demonstrated the utility of cardiac sympathetic denervation ( CSD ) in patients with ventricular tachycardia ( VT ) refractory to antiarrhythmic drugs and catheter or surgical ablation. We present our experience with bilateral CSD in a patient with a recurrent VT despite attempts at treatment with catheter ablation and antiarrhythmic drugs, and this is the first description of the successful management of an idiopathic refractory VT with a bilateral CSD and concomitant oral amiodarone, occurring after catheter ablation of persistent atrial fibrillation and idiopathic outflow tract premature ventricular contractions.