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    
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.
Seiji Hokimoto; Hiroki Usuku; Takeshi Tsuchiya; Shuichi Oshima; Hiroshi Kugimiya; Hisao Ogawa
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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    
Department of Interventional Cardiology, Division of Coronary Intensive Care Unit, Kumamoto University Hospital, Kumamoto, Japan.
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MeSH Terms
Angioplasty, Balloon
Atrioventricular Node*
Cardiac Pacing, Artificial / methods*
Cardiac Surgical Procedures
Catheter Ablation*
Combined Modality Therapy
Heart Failure / etiology,  therapy*
Heart Valve Prosthesis Implantation
Middle Aged
Mitral Valve Insufficiency / surgery
Tachycardia / complications,  therapy*

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