{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T23:55:12Z","timestamp":1781826912951,"version":"3.54.5"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Catheter ablation from the epicardial space is increasingly utilized to treat ventricular tachycardias (VTs). We report a rare complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 67-year-old male with dilated cardiomyopathy and frequent, exercise-induced VTs had been ablated once with endocardial and twice with epicardial access. Six weeks after the last procedure, he was hospitalized with abdominal and back pain due to an iatrogenic diaphragmatic hernia with displacement of the stomach and spleen into the left thoracic cavity. Following an acute exacerbation with cardiac arrest and splenic bleeding, he underwent successful surgery with splenectomy, reposition of the stomach, and direct suture of the diaphragmatic hernia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This is a rare complication, but notable for its delayed clinical manifestation several weeks after the procedure and necessitates urgent surgical treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag439","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T08:03:56Z","timestamp":1780992236000},"source":"Crossref","is-referenced-by-count":0,"title":["Case report: diaphragmatic hernia after epicardial catheter ablation"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4523-8736","authenticated-orcid":false,"given":"Ole-Gunnar","family":"Anfinsen","sequence":"first","affiliation":[{"name":"Department of Cardiology, Arrhythmia Section, Heart and Lung Clinic, Oslo University Hospital Rikshospitalet , Box 4950 Nydalen, Oslo N-0424 ,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trine Synn\u00f8ve","family":"Fink","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Arrhythmia Section, Heart and Lung Clinic, Oslo University Hospital Rikshospitalet , Box 4950 Nydalen, Oslo N-0424 ,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"\u00d8ye","sequence":"additional","affiliation":[{"name":"Department of Radiology, Vestre Viken Hospital Trust , Box 800, N-3004 Drammen ,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasmus Broby","family":"Johansen","sequence":"additional","affiliation":[{"name":"Division of Emergencies and Critical Care, Department of Anesthesiology and Intensive Care, Oslo University Hospital, Ullev\u00e5l , Box 4950 Nydalen, Oslo N-0424 ,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magnus H\u00f8lmo","family":"Fasting","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Gastrointestinal Surgery, Oslo University Hospital, Ullev\u00e5l , Box 4950 Nydalen, Oslo N-0424 ,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"2026061819465520300_ytag439-B1","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1056\/NEJMoa2409501","article-title":"Catheter ablation or antiarrhythmic drugs for ventricular tachycardia","volume":"392","author":"Sapp","year":"2024","journal-title":"N Engl J Med"},{"key":"2026061819465520300_ytag439-B2","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1161\/CIRCEP.111.962217","article-title":"Epicardial ablation for ventricular tachycardia: a European multicenter study","volume":"4","author":"Della Bella","year":"2011","journal-title":"Circ Arrhythmia Electrophysiol"},{"key":"2026061819465520300_ytag439-B3","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1111\/j.1540-8167.1996.tb00559.x","article-title":"A new technique to perform epicardial mapping in the electrophysiology laboratory","volume":"7","author":"Sosa","year":"1996","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2026061819465520300_ytag439-B4","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.jacep.2020.07.027","article-title":"A new era in epicardial access for the ablation of ventricular arrhythmias: the Epi-CO2 registry","volume":"7","author":"Juli\u00e1","year":"2021","journal-title":"JACC Clin Electrophysiol"},{"key":"2026061819465520300_ytag439-B5","first-page":"48","article-title":"A case report of a strangulated diaphragmatic laceration\u202f: an uncommon late complication of cardiac ablation","volume":"8","author":"Ghirardelli","year":"2025","journal-title":"Report"},{"key":"2026061819465520300_ytag439-B6","doi-asserted-by":"crossref","first-page":"e012181","DOI":"10.1161\/CIRCEP.123.012181","article-title":"Road-map to epicardial approach for catheter ablation of ventricular tachycardia in structural heart disease: results from a 10-year tertiary-center experience","volume":"17","author":"Bisceglia","year":"2024","journal-title":"Circ Arrhythmia Electrophysiol"},{"key":"2026061819465520300_ytag439-B7","doi-asserted-by":"crossref","first-page":"847","DOI":"10.12659\/AJCR.903966","article-title":"Atrio-esophageal fistula: a case series and literature review","volume":"18","author":"Schuring","year":"2017","journal-title":"Am J Case Rep"}],"container-title":["European Heart Journal - 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