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Epicardial ablation utilizing remote magnetic navigation in a patient with Brugada syndrome and inferior early repolarization
Author(s) -
Lim Paul Chun Yih,
Nademanee Koonlawee,
Lee Edward Chun Yi,
Teo Wee Siong
Publication year - 2018
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.13175
Subject(s) - medicine , brugada syndrome , cardiology , ablation , ventricular outflow tract , ventricle , ventricular fibrillation , radiofrequency ablation , benign early repolarization , repolarization , myocardial infarction , st segment , electrophysiology
We report a case of epicardial ablation in a combined Brugada and inferior early repolarization syndrome patient with recurrent defibrillator therapy for spontaneous ventricular fibrillation. Electroanatomic mapping and ablation were achieved with remote magnetic navigation. Highly fractionated electrograms were seen epicardially in the anterior right ventricular outflow tract (RVOT) and at the anterior‐inferior right ventricle. Ablation of the RVOT region resulted in resolution Brugada pattern electrocardiogram. The inferior early repolarization persisted despite ablation of the inferior right ventricular epicardium. Our patient remained event free at 12‐months follow‐up.