A successful electrical ablation of recurrent sustained ventricular tachycardia in a postoperative case of tetralogy of Fallot.

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概要

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• A 26 year old female patient developed recurrent sustained ventricular tachycardia (VT) after undergoing heart surgery for the third time for chronic pulmonary regurgitation following repair of tetralogy of Fallot. At the last surgery, ventriculotomy was again performed in the outflow tract of the right ventricle. At that time, scar formation and thinning of the cardiac wall were obvious. The surgical result was excellent. Three months later, she lost consciousness. ECG showed VT which was refractory to tolerated doses of antiarrhythmic drugs. Electrophysiologic study showed fragmented activity in the outflow tract of the right ventricle during VT which could be induced and terminated by programmed electrical stimulations. DC energy delivery of 200 Joules to catheter electrodes which recorded local activity 20msec prior to the onset of the QRS of VT was successful in preventing VT. VT could not be induced by extensive programmed stimulation 1 month later.

• International Heart Journal刊行会の論文

著者

• EGUCHI SHOJI

  Second Department of Surgery, Niigata University School of Medicine

• MIYAMURA HARUO

  Second Department of Surgery, Niigata University School of Medicine

• Shibata Akira

  First Department Of Internal Medicine Niigata University Niigata Case Western Reserve University

• Eguchi Shoji

  Second Department Of Surgery Niigata University School Of Medicine

• Murata Minoru

  First Department Of Internal Medicine And Second Depanment Of Surgery

• Miyamura Haruo

  Second Department Of Surgery Niigata University School Of Medicine

• Satoh Masahito

  First Department Of Internal Medicine And Second Depanment Of Surgery

• Aizawa Yoshifusa

  First Department Of Internal Medicine Niigata Universaity School Of Medicine

• Kanazawa Hiroshi

  Second Department Of Surgery Niigata University School Of Medicine

• Suzuki Kaoru

  First Department Of Internal Medicine Niigata University School Of Medicine

• ODA Hirotaka

  First Department of Internal Medicine, Niigata University School of Medicine

• AIZAWA Yoshifusa

  First Department of Internal Medecine, Niigata University School of Medicine, Niigata, Japan.

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