Successful radiofrequency ablation of atypical left ventricular outflow tachycardia guided by epicardial activation signals

被引:3
作者
Shah, MJ [1 ]
Radhakrishnan, N [1 ]
Ravikumar, M [1 ]
机构
[1] Madras Med Mission, Inst Cardiovasc Dis, Electrophysiol Lab, Madras, Tamil Nadu, India
关键词
RF ablation; right bundle branch block; inferior axis deviation; left coronary cusp; left main coronary artery; epicardial; subepicardial; endocardial;
D O I
10.1007/s00246-001-0025-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 12-year-old girl, with incessant atypical idiopathic left ventricular tachycardia, underwent successful radiofrequency ablation of ventricular tachycardia focus originating from a subepicardial site adjacent to the left coronary cusp. Ventricular tachycardia was successfully eliminated by targeting an endocardial site concordant to the epicardial site of early activation. Epicardial mapping was useful in locating an effective ablation site, and aortic root angiography was used to avoid potential injury to important structures, such as the left main coronary artery and left coronary cusp.
引用
收藏
页码:95 / 99
页数:5
相关论文
共 16 条
[1]  
ARRUDA M, 1996, PACE, V19, P611
[2]   Repetitive monomorphic tachycardia from the left ventricular outflow tract: Electrocardiographic patterns consistent with a left ventricular site of origin [J].
Callans, DJ ;
Menz, V ;
Schwartzman, D ;
Gottlieb, CD ;
Marchlinski, FE .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (05) :1023-1027
[3]   VENTRICULAR-TACHYCARDIA IN A YOUNG-POPULATION WITHOUT OVERT HEART-DISEASE [J].
DEAL, BJ ;
MILLER, SM ;
SCAGLIOTTI, D ;
PRECHEL, D ;
GALLASTEGUI, JL ;
HARIMAN, RJ .
CIRCULATION, 1986, 73 (06) :1111-1118
[4]  
FABIAN T, 1998, PACE, V21, P834
[5]  
Friedman PL, 1997, PACE, V20, P1184
[6]  
HEBE J, 1998, PACING CLIN ELECTR 2, V21, P843
[7]  
INDEN Y, 1997, PACING CLIN ELECTR 2, V20, P1205
[8]   Localization of optimal ablation site of idiopathic ventricular tachycardia from right and left ventricular outflow tract by body surface ECG [J].
Kamakura, S ;
Shimizu, W ;
Matsuo, K ;
Taguchi, A ;
Suyama, K ;
Kurita, T ;
Aihara, N ;
Ohe, T ;
Shimomura, K .
CIRCULATION, 1998, 98 (15) :1525-1533
[9]  
LIN FC, 1983, AM J CARDIOL, V52, P95
[10]   THE ELECTROCARDIOGRAPHIC, CLINICAL, AND ELECTROPHYSIOLOGIC SPECTRUM OF IDIOPATHIC MONOMORPHIC VENTRICULAR-TACHYCARDIA [J].
MONT, L ;
SEIXAS, T ;
BRUGADA, P ;
BRUGADA, J ;
SIMONIS, F ;
KRIEK, E ;
SMEETS, JLRM ;
WELLENS, HJJ .
AMERICAN HEART JOURNAL, 1992, 124 (03) :746-752