右心室穿孔导致心包填塞：室性心动过速风暴导管消融的一种罕见并发症。

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL

Acta medica Indonesiana Pub Date : 2024-10-01

Annisa Puspitasari Nachrowi, Simon Salim, Angga Pramudita, Muhammad Yamin

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引用次数: 0

摘要

心包填塞是导管消融术中一种罕见但致命的并发症。我们报告一例73岁男性室性心动过速（VT）风暴接受紧急VT消融，后来发现有右心室（RV）穿孔-导管消融并发症的一个不寻常的部位。患者接受了基于等时晚激活映射（ILAM）的消融术和消除局部异常心室活动（LAVA）。手术后，他的血压迅速下降，并发现他有心脏填塞。心包置辫后，心包填塞仍复发；因此，该患者已准备好进行心脏直视手术。为了保存血液，自体输血被用作桥接治疗。

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本刊更多论文

Cardiac Tamponade Due to Right Ventricle Perforation: A Rare Complication of Catheter Ablation for Ventricular Tachycardia Storm.

Cardiac tamponade is a rare but fatal complication of catheter ablation. We are reporting a case of a 73-year-old male with ventricular tachycardia (VT) storm undergoing urgent VT ablation, who was later found to have right ventricle (RV) perforation-an unusual site for catheter ablation complication. The patient underwent isochronal late activation mapping (ILAM)-based ablation and elimination of local abnormal ventricular activities (LAVA). After procedure, his blood pressure rapidly decreased, and he was found to have cardiac tamponade. The tamponade was recurring despite of pericardial pigtail placement; thus, the patient was prepared for open-heart surgery. To preserve blood, auto transfusion was used as a bridging therapy.

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来源期刊

Acta medica Indonesiana MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： Acta Medica Indonesiana – The Indonesian Journal of Internal Medicine is an open accessed online journal and comprehensive peer-reviewed medical journal published by the Indonesian Society of Internal Medicine since 1968. Our main mission is to encourage the novel and important science in the clinical area in internal medicine. We welcome authors for original articles (research), review articles, interesting case reports, special articles, clinical practices, and medical illustrations that focus on the clinical area of internal medicine. Subjects suitable for publication include, but are not limited to the following fields of: -Allergy and immunology -Emergency medicine -Cancer and stem cells -Cardiovascular -Endocrinology and Metabolism -Gastroenterology -Gerontology -Hematology -Hepatology -Tropical and Infectious Disease -Virology -Internal medicine -Psychosomatic -Pulmonology -Rheumatology -Renal and Hypertension -Thyroid