Open Ablation of the Left Ventricle During Implantation of a Left Ventricular Assist Device

Yuriy Hrytsyna; Jin-Hong Gerds-Li; Roland Heck; Pia Lanmüller; Leonard Pitts; Felix Hohendanner; Christoph Starck; Volkmar Falk; Evgenij V Potapov

doi:10.1016/j.atssr.2022.10.012

Open Ablation of the Left Ventricle During Implantation of a Left Ventricular Assist Device

Ann Thorac Surg Short Rep. 2022 Oct 29;1(1):188-190. doi: 10.1016/j.atssr.2022.10.012. eCollection 2023 Mar.

Authors

Yuriy Hrytsyna¹, Jin-Hong Gerds-Li², Roland Heck¹, Pia Lanmüller^{1

3}, Leonard Pitts¹, Felix Hohendanner^{2

3

4}, Christoph Starck^{1

3}, Volkmar Falk^{1

3

5

6}, Evgenij V Potapov^{1

3}

Affiliations

¹ Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Berlin, Germany.
² Department of Internal Medicine and Cardiology, German Heart Institute, Berlin, Germany.
³ DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.
⁴ Berlin Institute of Health (BIH), Berlin, Germany.
⁵ Department of Cardiovascular Surgery, Charité-Universitaetsmedizin Berlin, Berlin, Germany.
⁶ Department of Health Sciences and Technology, Translational Cardiovascular Technologies, Institute of Translational Medicine, Swiss Federal Institute of Technology (ETH) Zurich, Zurich, Switzerland.

Abstract

This report describes the successful treatment of persistent ventricular tachycardia in a 66-year-old patient with ischemic cardiomyopathy during left ventricular assist device (LVAD) implantation. Recurrent episodes of ventricular tachycardia led to cardiac decompensation necessitating LVAD implantation. After opening the left ventricle, an AtriCure Isolator Synergy OLL2 radiofrequency clamp was used to perform 4 sets of transmural lesions. Transmurality was observed in all lesions. A HeartMate 3 (Abbott) LVAD was implanted in standard fashion. The lesions were connected with an epicardial ablation line using a radiofrequency catheter. The patient was discharged home without complications and with a stable rhythm.

Publication types

Case Reports