Accelerated Junctional Tachycardia at a Rate of 190 Beats/Minute Following Cryosurgery and Aneurysmectomy for Ventricular Tachycardia: A Case Report

CHARLES R. KERR, JOHN J. GALLAGHER*, James Lewis Cox, WARREN M. SMITH, RICHARD STERBA

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

In this case study we report a 59‐year‐old man who underwent combined aneurysectomy, endocardial resection, and cryosurgery for recurrent ventricular tachycardia. Following surgery he developed an accelerated junclional tachycardia with rates up to 190/min arising near the area of cryoablation which involved the junctional region. Using intracavitary recording and stimulation this tachycardia was shown to arise from ihe junctional area and had characteristics suggesting accelerated automaticity. During the electrophysiological study the focus of the tachycardia was temporarily obtunded by catheter trauma. After reappearance of the arrhythmia, successful suppression was achieved using diphenylhydantoin. (PACE, Vol. 5, May‐June, 1982)

Original languageEnglish (US)
Pages (from-to)442-454
Number of pages13
JournalPacing and Clinical Electrophysiology
Volume5
Issue number3
DOIs
StatePublished - May 1982

Keywords

  • arrhythmia
  • intracavitary recording
  • ventricular tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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