Atrioventricular Nodal Ablation and Biventricular Pacing Therapy with Coronary Venoplasty for Severe Heart Failure with Drug Refractory Atrial Tachycardia
スポンサーリンク
概要
- 論文の詳細を見る
A 53-year-old man was admitted to our hospital for dyspnea, associated with atrial tachycardia. He underwent mitral valve replacement and Maze operation for mitral regurgitation and atrial fibrillation and since then he suffered from drug refractory atrial tachycardia followed by cardiogenic shock with systolic heart failure. Atrial tachycardia with rapid ventricular response was medically refractory, and radical catheter ablation was thought to be very difficult due to post Maze operation, mitral mechanical valve replacement and unstable hemodynamics. Thus, atrioventricular nodal ablation, which was s safe procedure compared to the radical ablation for this patient, and biventricular pacemaker implantation, which required coronary venoplasty, were performed. Combination therapy may be one of the treatments for heart failure patients with drug refractory tachyarrhythmias.
- 社団法人 日本内科学会の論文
著者
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TSUCHIYA Takeshi
EP Expert Doctors-Team TSUCHIYA
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Hokimoto Seiji
Department Of Cardiovascular Medicine Graduate School Of Medical Sciences Kumamoto University
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Ogawa Hisao
Department Cardiovascular Medicine Kumamoto University:division Of Intensive Care Unit Kumamoto Univ
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Usuku Hiroki
Department Of Cardiovascular Medicine Graduate School Of Medical Sciences Kumamoto University
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Oshima Shuichi
Division Of Cardiology Kumamoto Central Hospital
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Kugimiya Hiroshi
Bethesda Clinic
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