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But the metallic valves prohibited the insertion of catheters via retrograde or via trans-septal approaches. Therefore, we decided to perform catheter ablation by direct left ventricle puncture through a minithoracotomy. The arrhythmia was successfully ablated via of trans-apical approach and did not recur at six months follow-up.<\/jats:p>","DOI":"10.1186\/s13019-024-02478-4","type":"journal-article","created":{"date-parts":[[2024,1,20]],"date-time":"2024-01-20T03:02:08Z","timestamp":1705719728000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Trans-apical catheter ablation of ventricular tachycardia in a patient with metallic aortic and mitral valves"],"prefix":"10.1186","volume":"19","author":[{"given":"Ali","family":"Bozorgi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saeed","family":"Sadeghian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Entezar","family":"Mehrabi Nasab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,1,20]]},"reference":[{"issue":"18","key":"2478_CR1","doi-asserted-by":"publisher","first-page":"2005","DOI":"10.1161\/CIRCULATIONAHA.107.703157","volume":"116","author":"RE Eckart","year":"2007","unstructured":"Eckart RE, Hruczkowski TW, Tedrow UB, Koplan BA, Epstein LM, Stevenson WG. Sustained ventricular tachycardia associated with corrective valve surgery. Circulation. 2007;116(18):2005\u201311.","journal-title":"Circulation"},{"issue":"1","key":"2478_CR2","doi-asserted-by":"publisher","first-page":"300060519897667","DOI":"10.1177\/0300060519897667","volume":"48","author":"M-Y Gao","year":"2020","unstructured":"Gao M-Y, Zeng L-J, Li X-X, Tian Y, Pi-Xiong Su, Yang X-C, Liu X-P. Ablation of ventricular tachycardia by direct left ventricle puncture through a minithoracotomy after double valve replacement: a case report and literature review. J Int Med Res. 2020;48(1):300060519897667.","journal-title":"J Int Med Res"},{"issue":"9","key":"2478_CR3","doi-asserted-by":"publisher","first-page":"2116","DOI":"10.1111\/jce.15623","volume":"33","author":"J Hawson","year":"2022","unstructured":"Hawson J, Kalman J, Goldblatt J, Anderson RD, Watts T, Hardcastle N, Siva S, Kumar S, Lee G. From minimally to maximally invasive; VT ablation in the setting of mechanical aortic and mitral valves. J Cardiovasc Electrophysiol. 2022;33(9):2116\u201320. https:\/\/doi.org\/10.1111\/jce.15623.","journal-title":"J Cardiovasc Electrophysiol"},{"issue":"4","key":"2478_CR4","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1111\/jce.15388","volume":"33","author":"RG Bennett","year":"2022","unstructured":"Bennett RG, Garikapati K, Anderson RD, Silva K, Campbell T, Kotake Y, Turnbull S, Tonchev I, Lee G, Kalman J, Kumar S. Clinical, electroanatomic and electrophysiologic characterization and outcomes of catheter ablation for ventricular tachycardia following valvular intervention. J Cardiovasc Electrophysiol. 2022;33(4):589\u2013604. https:\/\/doi.org\/10.1111\/jce.15388. (Epub 2022 Feb 8 PMID: 35107192).","journal-title":"J Cardiovasc Electrophysiol"},{"issue":"7","key":"2478_CR5","doi-asserted-by":"publisher","first-page":"3719","DOI":"10.19102\/icrm.2019.100702.PMID:32477738;PMCID:PMC7252692","volume":"10","author":"D Aras","year":"2019","unstructured":"Aras D, Topaloglu S, Ozeke O, Ozcan F, Cay S, Golbasi Z. Percutaneous interventricular septal access guided by subcostal echocardiography and fluoroscopy for ventricular tachycardia ablation in a patient with aortic and mitral mechanical valves. J Innov Card Rhythm Manag. 2019;10(7):3719\u201321. https:\/\/doi.org\/10.19102\/icrm.2019.100702.PMID:32477738;PMCID:PMC7252692.","journal-title":"J Innov Card Rhythm Manag"},{"issue":"3","key":"2478_CR6","first-page":"1","volume":"6","author":"S Pasquale","year":"2021","unstructured":"Pasquale S, Matthew C, et al. Outcomes of percutaneous trans-right atrial access to the left ventricle for catheter ablation of ventricular tachycardia in patient with mechanical aortic and mitral valves. JAMA Cardiol. 2021;6(3):1\u20136.","journal-title":"JAMA Cardiol"},{"issue":"4","key":"2478_CR7","doi-asserted-by":"publisher","first-page":"498","DOI":"10.1093\/icvts\/ivv394","volume":"22","author":"G Imnadze","year":"2016","unstructured":"Imnadze G, Hofmann S, Warnecke H, Zerm T. Epicardial ablation of ventricular tachycardia using pericardioscopy through submammary minimal thoracotomy. Interact Cardiovasc Thorac Surg. 2016;22(4):498\u2013500.","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"12","key":"2478_CR8","doi-asserted-by":"publisher","first-page":"1025","DOI":"10.1007\/s00392-014-0746-7","volume":"103","author":"T Reents","year":"2014","unstructured":"Reents T, Stilz S, Herold U, Deisenhofer I. Transapical access for catheter ablation of left ventricular tachycardia in a patient with mechanical aortic and mitral valve prosthesis. Clin Res Cardiol. 2014;103(12):1025\u20137.","journal-title":"Clin Res Cardiol"},{"issue":"2","key":"2478_CR9","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1161\/CIRCEP.109.906628","volume":"3","author":"CH Hsieh","year":"2010","unstructured":"Hsieh CH, Thomas SP, Ross DL. Direct transthoracic access to the left ventricle for catheter ablation of ventricular tachycardia. Circ Arrhythm Electrophysiol. 2010;3(2):178\u201385.","journal-title":"Circ Arrhythm Electrophysiol"},{"issue":"2","key":"2478_CR10","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1016\/j.hrcr.2015.11.002","volume":"2","author":"D Benhayon","year":"2016","unstructured":"Benhayon D, Cogan J, Scholl F, Latson L, Alkon J, Young M-L. Left ventricular tachycardia ablation in a toddler via a transapical approach: a new tool for the armamentarium. HeartRhythm Case Report. 2016;2(2):135\u20137.","journal-title":"HeartRhythm Case Report"},{"issue":"2","key":"2478_CR11","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1016\/j.hrthm.2014.10.030","volume":"12","author":"L Koutbi","year":"2015","unstructured":"Koutbi L, Chenu C, Mace L, Franceschi F. Ablation of idiopathic ventricular tachycardia arising from posterior mitral annulus in an 11-month-old infant by transapical left ventricular access via median sternotomy. Heart Rhythm. 2015;12(2):430\u20132.","journal-title":"Heart Rhythm"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02478-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-02478-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02478-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,20]],"date-time":"2024-01-20T03:03:42Z","timestamp":1705719822000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-02478-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,20]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2478"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-02478-4","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,20]]},"assertion":[{"value":"1 July 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 January 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Consent to participate has been taken from patients.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"12"}}