Rethinking papillary muscle resection for refractory ventricular tachycardia in the LVAD era. A case report.


Journal Article

We report the case of a 57-year-old man with a history of ischemic cardiomyopathy who presented to the hospital with recurrent episodes of ventricular tachycardia refractory to antiarrhythmic medications. Mapping identified a deep premature ventricular contraction focus in the anterolateral papillary muscle, an area that has been previously identified as difficult to treat with radiofrequency catheter ablation. The hospital course was complicated by cardiogenic shock and VT-storm, and the patient ultimately underwent surgical resection of the anterolateral papillary muscle with left ventricular assist device placement as a successful bridge to cardiac transplantation.

Full Text

Duke Authors

Cited Authors

  • Il'Giovine, ZJ; DeVore, AD; Patel, CB; Koontz, J; Schroder, J

Published Date

  • November 2017

Published In

Volume / Issue

  • 50 / 6

Start / End Page

  • 964 - 965

PubMed ID

  • 28802656

Pubmed Central ID

  • 28802656

Electronic International Standard Serial Number (EISSN)

  • 1532-8430

Digital Object Identifier (DOI)

  • 10.1016/j.jelectrocard.2017.07.007


  • eng

Conference Location

  • United States