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Ventricular Tachycardia Storm Originating From Moderator Band Requiring Extracorporeal Membrane Oxygenation
case-report
Douglas Darden , MD,
Jonathan C. Hsu , MD, MAS,
Sanjay Shah , MD,
Kurt Hoffmayer , MD, PharmD,
Gregory K. Feld , MD,
Frederick T. Han , MD
∗
17 June 2020
ablation,
acute heart failure,
cardiac assist devices,
ventricular tachycardia,
APM, anterior papillary muscle,
ECG, electrocardiogram,
ECMO, extracorporeal membrane oxygenation,
ICD, implantable cardioverter-defibrillator,
MB, moderator band,
PF, Purkinje fibers,
PVC, premature ventricular contraction,
RV, right ventricle,
VA, ventricular arrhythmia,
VF, ventricular fibrillation,
VT, ventricular tachycardia
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Abstract
A 67-year-old man presented with dizziness secondary to ventricular tachycardia (VT) originating from the moderator band. The VT was refractory to multiple antiarrhythmic medications requiring extracorporeal membrane oxygenation and eventual curative ablation. We highlight a malignant form of idiopathic VT, unique electrocardiogram characteristics, and ablation considerations. ( Level of Difficulty: Intermediate.)
Graphical abstract
Abstract
A 67-year-old man presented with dizziness secondary to ventricular tachycardia (VT) originating from the moderator band. The VT was refractory to multiple…
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Most cited references5
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Idiopathic ventricular arrhythmias originating from the moderator band: Electrocardiographic characteristics and treatment by catheter ablation.
Mouhannad Sadek, Daniel Benhayon, Ravi Sureddi … (2015)
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Percutaneous cryoablation for papillary muscle ventricular arrhythmias after failed radiofrequency catheter ablation
Jeffrey Gordon, Jackson Liang, Rajeev Pathak … (2018)
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Catheter Ablation of Idiopathic Ventricular Arrhythmias
Author and article information
ablation,acute heart failure,cardiac assist devices,ventricular tachycardia,apm, anterior papillary muscle,ecg, electrocardiogram,ecmo, extracorporeal membrane oxygenation,icd, implantable cardioverter-defibrillator,mb, moderator band,pf, purkinje fibers,pvc, premature ventricular contraction,rv, right ventricle,va, ventricular arrhythmia,vf, ventricular fibrillation,vt, ventricular tachycardia
ablation, acute heart failure, cardiac assist devices, ventricular tachycardia, apm, anterior papillary muscle, ecg, electrocardiogram, ecmo, extracorporeal membrane oxygenation, icd, implantable cardioverter-defibrillator, mb, moderator band, pf, purkinje fibers, pvc, premature ventricular contraction, rv, right ventricle, va, ventricular arrhythmia, vf, ventricular fibrillation, vt, ventricular tachycardia