Case Report: Diaphragmatic Hernia after Epicardial Catheter Ablation

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ID: 316468
2026
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Abstract
Abstract Background Catheter ablation from the epicardial space is increasingly utilized to treat ventricular tachycardias (VTs). We report a rare complication. Case summary 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 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 ventricle and direct suture of the diaphragmatic hernia. Conclusion This is a rare complication, but notable for its delayed clinical manifestation several weeks after the procedure and necessitates urgent surgical treatment.
Reference Key
openalex_W7164001950 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Ole‐Gunnar Anfinsen, Trine S. Fink, Alexander Øye, Rasmus Broby Johansen, Magnus Hølmo Fasting
Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag439
URL
https://doi.org/10.1093/ehjcr/ytag439
Keywords Keywords not found

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