From minimally to maximally invasive; VT ablation in the setting of mechanical aortic and mitral valves

• DOI: 10.1111/jce.15623
• Publication Date: 2022-07-17T06:49:46Z
• Authors: Joshua Hawson; Jonathan Kalman; John Goldblatt; Robert D. Anderson; Troy Watts; Nick Hardcastle; Shankar Siva; Saurabh Kumar; Geoffrey Lee
• Keywords: 610; Case Reports; 3. Good health; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Aortic Valve; 616; Catheter Ablation; Tachycardia, Ventricular; Humans; Mitral Valve; Endocardium

AbstractDouble mitral and aortic mechanical valves present an access challenge when planning a ventricular tachycardia (VT) ablation. In this case report, we describe a patient who was considered for stereotactic ablative radiotherapy but was unable to proceed due to unfavorable anatomy making them at high risk of fistula formation. The patient went on to have an endocardial VT ablation via mini‐thoracotomy and transapical access without complication. This case highlights the need for careful consideration when planning treatment for patients with double mechanical valves.