Figure 3:

Patient with a large anterior infarct requiring LVAD implant and no history of VT. He developed incessant VT after LVAD implantation that was refractory to AAD. A and B: Three-dimensional electroanatomic maps of the HeartWare LVAD (HeartWare International Inc., Framingham, MA, USA) and large anteroapical scar. C: Transseptal approach to catheter ablation with the catheter balanced on the inflow cannula of the VAD. D: Clinical arrhythmia (apical superiorly directed VT) originating from near the LVAD cannula.