Combined surgical and ablative cure for localized sternal compression–induced cardiomyopathy and ventricular tachyarrhythmia Christopher V. DeSimone,

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Presentation transcript:

Combined surgical and ablative cure for localized sternal compression–induced cardiomyopathy and ventricular tachyarrhythmia Christopher V. DeSimone, MD, PhD, Sandeep Sagar, MD, Chris Moir, MD, Samuel J. Asirvatham, MD The Journal of Thoracic and Cardiovascular Surgery Volume 144, Issue 3, Pages e85-e87 (September 2012) DOI: 10.1016/j.jtcvs.2012.03.033 Copyright © 2012 Terms and Conditions

Figure 1 A, Preprocedure electrocardiogram showing monomorphic nonsustained ventricular tachyarrhythmia with superior axis left bundle branch block morphology. B, Postprocedure electrocardiogram showing sinus rhythm and no ventricular arrhythmia. The Journal of Thoracic and Cardiovascular Surgery 2012 144, e85-e87DOI: (10.1016/j.jtcvs.2012.03.033) Copyright © 2012 Terms and Conditions

Figure 2 A, Cardiac magnetic resonance image showing significant free wall impingement (arrow) as a result of the sternal abnormality. There is severe compression noted on the anterolateral right ventricular (RV) inflow portion. B, Intracardiac ultrasonography showing catheter position during ablation exactly at the location of sternal compression. LV, Left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2012 144, e85-e87DOI: (10.1016/j.jtcvs.2012.03.033) Copyright © 2012 Terms and Conditions

Figure 3 Anteroposterior and lateral chest radiographs taken after sternal bar correction of pectus excavatum deformity. The Nuss bar is seen across the patient’s chest and underneath the sternum. This shows that the bar is preventing sternal compression of the right ventricle. The Journal of Thoracic and Cardiovascular Surgery 2012 144, e85-e87DOI: (10.1016/j.jtcvs.2012.03.033) Copyright © 2012 Terms and Conditions