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A CASE OF DIFFICULT EPICARDIAL ACCESS FOR ABLATION OF VENTRICULAR TACHYCARDIA

We present a case of a 67-year old patient with nonischemic cardiomyopathy and recurrent sustained ventricular tachycardia of epicardial origin referred for ablation. Due to two previous episodes of cardiac tamponade secondary to implantable cardioverter-defibrillator lead perforation at time of device implant, the patient had signficant pericardial adhesions making epicardial access and ablation challenging.

Credits: Steven M. Stevens, MD; Roderick Tung, MD; Kalyanam Shivkumar, MD, PhD; Jason S.Bradfield, MD