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European Heart Journal 1992 13(6):844-846;
Copyright © 1992 by the European Society of Cardiology.
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© 1992 The European Society of Cardiology

Myocardial dissection following successful chemical ablation of ventricular tachycardia

E. VERNA, S. REPETTO, C. SAVERI, N. FORGIONE, S. MERCHANT* and G. BINAGHI

Division of Cardiology, Ospedale Multizonale Varese, Italy
*Lecturer in Cardiology, King Edward Memorial Hospital Bombay 400 012, India

Received 28 May 1991; revised 28 October 1991; .

Correspondence: Edoardo Verna, Divisione d1 Cardiologia, Ospedale Multizonale, Viale Born, 56, 21100 Varese, Italy.

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.

Key Words: Ventricular tachycardia • arrhythmias • ablation


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