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Catch 22: a case of incessant ventricular tachycardia post-left ventricular assist device resulting in right ventricular failure, left ventricular cavity obliteration and failure of endocardial ventricular tachycardia ablation

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Abstract

Ventricular tachycardia (VT) in the setting of left ventricular assist device (LVAD) therapy has been well described. We present a case of incessant ventricular tachycardia resulting in severe right ventricular (RV) failure and subsequent left ventricular (LV) cavity obliteration, which in turn diminished the feasibility of initial attempt at VT ablation.

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Abbreviations

EA:

Electroanatomic

EP:

Electrophysiology

ICD:

Implantable cardioverter/defibrillator

ICE:

Intracardiac echocardiography

LA:

Left atrium

LV:

Left ventricle

LVAD:

Left ventricular assist device

RV:

Right ventricle

VT:

Ventricular tachycardia

References

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Correspondence to Amresh Raina.

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The authors report no financial disclosures of other conflict of interest with regard to this manuscript. This manuscript did not receive industry or other Grant funding.

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Thosani, A.J., Bailey, S.H. & Raina, A. Catch 22: a case of incessant ventricular tachycardia post-left ventricular assist device resulting in right ventricular failure, left ventricular cavity obliteration and failure of endocardial ventricular tachycardia ablation. J Artif Organs 20, 174–177 (2017). https://doi.org/10.1007/s10047-017-0948-7

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  • DOI: https://doi.org/10.1007/s10047-017-0948-7

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