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

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Presentation on theme: "Combined surgical and ablative cure for localized sternal compression–induced cardiomyopathy and ventricular tachyarrhythmia  Christopher V. DeSimone,"— Presentation transcript:

1 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: /j.jtcvs Copyright © Terms and Conditions

2 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  , e85-e87DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

3 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  , e85-e87DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

4 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  , e85-e87DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

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