Document Detail


Atrioventricular nodal ablation and biventricular pacing therapy with coronary venoplasty for severe heart failure with drug refractory atrial tachycardia.
MedLine Citation:
PMID:  18591844     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Seiji Hokimoto; Hiroki Usuku; Takeshi Tsuchiya; Shuichi Oshima; Hiroshi Kugimiya; Hisao Ogawa
Related Documents :
12655124 - Comparison of canine heartworm removal rates using flexible alligator forceps guided by...
12137344 - Simultaneous atrial and ventricular pacing to facilitate mapping of concealed left-side...
23196754 - Coronary sinus activation pattern in the differential diagnosis of regular atrial tachy...
2394004 - Modification of human atrioventricular nodal function by selective atrioventricular nod...
1773624 - Noninvasive and invasive testing after myocardial infarction.
3568284 - Mechanism of attenuated pressure-flow autoregulation in right coronary circulation of d...
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-07-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  47     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2008  
Date Detail:
Created Date:  2008-07-01     Completed Date:  2008-08-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1219-23     Citation Subset:  IM    
Affiliation:
Department of Interventional Cardiology, Division of Coronary Intensive Care Unit, Kumamoto University Hospital, Kumamoto, Japan. seisan@momo.so-net.ne.jp
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon
Atrioventricular Node*
Cardiac Pacing, Artificial / methods*
Cardiac Surgical Procedures
Catheter Ablation*
Combined Modality Therapy
Heart Failure / etiology,  therapy*
Heart Valve Prosthesis Implantation
Humans
Male
Middle Aged
Mitral Valve Insufficiency / surgery
Tachycardia / complications,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Hepatocellular carcinoma with a "nodule-in-nodule" appearance reflecting an unusual dilated pseudogl...
Next Document:  Combination of type 2 diabetes and malnutrition worsened by anastomotic stenosis and pancreas atroph...