An interesting case of unusual cause of refractory ventricular tachycardia in a chronic kidney disease patient

Refractory ventricular tachycardia (RVT) has been a life-threatening form of arrhythmias. There are many causes reported in literature that are found to trigger RVT. Here, we report a rare cause of RVT. A gentleman under maintenance hemodialysis since 1 year was emplaced with permacatheter since the...

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Bibliographic Details
Published in:Journal of Indian College of Cardiology 2021-04, Vol.11 (2), p.89-92
Main Authors: Tumkur, Ashwin, Sudhakar, G, Goura, Prakash
Format: Article
Language:English
Subjects:
chronic kidney disease
hemodialysis
permacatheter
snare
ventricular tachycardia
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Summary:Refractory ventricular tachycardia (RVT) has been a life-threatening form of arrhythmias. There are many causes reported in literature that are found to trigger RVT. Here, we report a rare cause of RVT. A gentleman under maintenance hemodialysis since 1 year was emplaced with permacatheter since then. He presented with signs and symptoms of RVT, on evaluation, it was found that RVT was caused due to broken permacatheter fragment that was embolized into the right ventricle. It was successfully retrieved through snare loop as an emergency and the RVT was then reverted to normal rhythm. Therefore, in patients undergoing hemodialysis or under treatment with such access devices symptoms of chest pain, irregular heart rhythms or complications like retained catheter must be considered as a part of differential diagnosis, even when substantial time has elapsed after initial catheter access emplacement.
ISSN:1561-8811
2213-3615
DOI:10.4103/jicc.jicc_78_20