Myocardial dissection following successful chemical ablation of ventricular tachycardia.

Verna, E; Repetto, S; Saveri, C; Forgione, N; Merchant, S; Binaghi, G · Eur Heart J · 1992

case_report · Level V

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Abstract

We describe a case of fatal myocardial rupture and tamponade following a successful transcoronary chemical ablation of incessant ventricular tachycardia. Pathological examination showed a subepicardial dissection of the heart at the ablation site with fibrous and fatty degeneration of the myocardium. The present report calls for caution, underlying a possible lethal complication of ethanol ablation which has not been described before.

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