Mapping-guided exclusion of left ventricular aneurysms for management of ventricular tachycardia

Aneurysm-related ventricular tachycardia (VT) can pose a therapeutic challenge, particularly in patients with refractory symptoms despite optimal medical and catheter-based interventions.Here, we present 2 cases of patients with recurrent VT secondary to a large left ventricular (LV) aneurysm who underwent surgical exclusion of the LV aneurysm for VT management.The procedure was performed using an innovative approach that integrated the Dor technique with intraoperative substrate mapping and ablation.

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Journal
JTCVS Techniques
Published
2025-04-29
DOI
https://doi.org/10.1016/j.xjtc.2025.04.011
Primary Topic
Cardiac Structural Anomalies and Repair
Type
article
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article

Mapping-guided exclusion of left ventricular aneurysms for management of ventricular tachycardia

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JTCVS Techniques
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Mapping-guided exclusion of left ventricular aneurysms for management of ventricular tachycardia

Yong‐Mei Cha, Alan Sugrue, Fatima M. Ezzeddine, Juan A. Crestanello, Arman Arghami, Oisin Galvin, Samuel J. Asirvatham, Ammar M. Killu
article en

Abstract

Aneurysm-related ventricular tachycardia (VT) can pose a therapeutic challenge, particularly in patients with refractory symptoms despite optimal medical and catheter-based interventions.Here, we present 2 cases of patients with recurrent VT secondary to a large left ventricular (LV) aneurysm who underwent surgical exclusion of the LV aneurysm for VT management.The procedure was performed using an innovative approach that integrated the Dor technique with intraoperative substrate mapping and ablation.

JTCVS TechniquesVol. 32
Mayo Clinic in Arizona (US)
Reduced inequalities
Openalex Percentile: Top 84%
Cardiac Structural Anomalies and Repair
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