Ventricular Tachycardia Storm Originating From Moderator Band Requiring Extracorporeal Membrane Oxygenation

Douglas Darden, MD; Jonathan C. Hsu, MD, MAS; Sanjay Shah, MD; Kurt Hoffmayer, MD, PharmD; Gregory K. Feld, MD; Frederick T. Han, MD

JACC: Case Reports (Jun 2020)

Ventricular Tachycardia Storm Originating From Moderator Band Requiring Extracorporeal Membrane Oxygenation

Douglas Darden, MD,
Jonathan C. Hsu, MD, MAS,
Sanjay Shah, MD,
Kurt Hoffmayer, MD, PharmD,
Gregory K. Feld, MD,
Frederick T. Han, MD

Affiliations

Douglas Darden, MD: Division of Cardiology, Department of Medicine, Cardiovascular Institute, University of California San Diego, San Diego, California
Jonathan C. Hsu, MD, MAS: Division of Cardiology, Department of Medicine, Cardiovascular Institute, University of California San Diego, San Diego, California
Sanjay Shah, MD: Division of Cardiology, Department of Medicine, Cardiovascular Institute, University of California San Diego, San Diego, California
Kurt Hoffmayer, MD, PharmD: Division of Cardiology, Department of Medicine, Cardiovascular Institute, University of California San Diego, San Diego, California
Gregory K. Feld, MD: Division of Cardiology, Department of Medicine, Cardiovascular Institute, University of California San Diego, San Diego, California
Frederick T. Han, MD: Address for correspondence: Dr. Frederick T. Han, Division of Cardiology, Cardiovascular Institute, University of California-San Diego, 9452 Medical Center Drive, MC7411, Altman Building, 3rd Floor, Room 3E-313, La Jolla, California 92037.; Division of Cardiology, Department of Medicine, Cardiovascular Institute, University of California San Diego, San Diego, California

Journal volume & issue: Vol. 2, no. 6
pp. 946 – 950

Abstract

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A 67-year-old man presented with dizziness secondary to ventricular tachycardia (VT) originating from the moderator band. The VT was refractory to multiple antiarrhythmic medications requiring extracorporeal membrane oxygenation and eventual curative ablation. We highlight a malignant form of idiopathic VT, unique electrocardiogram characteristics, and ablation considerations. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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