Case report: diaphragmatic hernia after epicardial catheter ablation.

Ole-Gunnar Anfinsen, Trine Synnøve Fink, Alexander Øye, Rasmus Broby Johansen, Magnus Hølmo Fasting

Abstract readCase Reports

In one paragraph

Article in European heart journal. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ole-Gunnar AnfinsenDepartment of Cardiology, Arrhythmia Section, Heart and Lung Clinic, Oslo University Hospital Rikshospitalet, Box 4950 Nydalen, Oslo N-0424, Norway.ORCID https://orcid.org/0000-0003-4523-8736

Trine Synnøve FinkDepartment of Cardiology, Arrhythmia Section, Heart and Lung Clinic, Oslo University Hospital Rikshospitalet, Box 4950 Nydalen, Oslo N-0424, Norway.

Alexander ØyeDepartment of Radiology, Vestre Viken Hospital Trust, Box 800, N-3004 Drammen, Norway.

Rasmus Broby JohansenDivision of Emergencies and Critical Care, Department of Anesthesiology and Intensive Care, Oslo University Hospital, Ullevål, Box 4950 Nydalen, Oslo N-0424, Norway.

Magnus Hølmo FastingDepartment of Pediatric and Gastrointestinal Surgery, Oslo University Hospital, Ullevål, Box 4950 Nydalen, Oslo N-0424, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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 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. Discussion: This is a rare complication, but notable for its delayed clinical manifestation several weeks after the procedure and necessitates urgent surgical treatment.

Indexed as

Case reportCatheter ablationCT thoracic angiographyEpicardial accessProcedural complicationVentricular tachycardia

Identifiers

PMID42326023

DOI10.1093/ehjcr/ytag439

PMCPMC13278791

What OpenQuestion holds

Textmetadata

LicenceCC BY

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.