Clockwise and counter-clockwise circulation of wavefronts around an anatomical obstacle as one mechanism of two morphologies of sustained ventricular tachycardia in patients after a corrective operation of tetralogy of Fallot

被引:8
作者
Chinushi, M
Aizawa, Y
Kitazawa, H
Takahashi, K
Washizuka, T
Shibata, A
机构
[1] Niigata University, School of Medicine
[2] First Dept. of Internal Medicine, Niigata University, School of Medicine, Niigata 951, 1-754, Asahimachi
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1997年 / 20卷 / 09期
关键词
macroreentry; tetralogy of Fallot;
D O I
10.1111/j.1540-8159.1997.tb04250.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Two different monomorphic VTs were observed in two patients after a corrective operation for tetralogy of Fallot. The activation pattern of the wavefronts of the two VTs were different: in a counter-clockwise direction around the anatomical obstacle due to a ventriculotomy of the right ventricle in one VT; and in a clockwise direction around the same obstacle in the other VT. The different revolutions of the wavefronts could be the mechanism for the different morphologies of VT.
引用
收藏
页码:2279 / 2281
页数:3
相关论文
共 6 条
[1]   INCIDENCE AND MECHANISM OF INTERRUPTION OF REENTRANT VENTRICULAR-TACHYCARDIA WITH RAPID VENTRICULAR PACING [J].
AIZAWA, Y ;
NIWANO, S ;
CHINUSHI, M ;
TAMURA, M ;
KUSANO, Y ;
MIYAJIMA, T ;
KITAZAWA, H ;
SHIBATA, A .
CIRCULATION, 1992, 85 (02) :589-595
[2]   SUCCESSFUL RADIOFREQUENCY CATHETER ABLATION FOR MACROREENTRANT VENTRICULAR TACHYCARDIAS IN A PATIENT WITH TETRALOGY OF FALLOT AFTER CORRECTIVE SURGERY [J].
CHINUSHI, M ;
AIZAWA, Y ;
KITAZAWA, H ;
KUSANO, Y ;
WASHIZUKA, T ;
SHIBATA, A .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1995, 18 (09) :1713-1716
[3]   ELECTROPHYSIOLOGIC CHARACTERISTICS OF SUSTAINED VENTRICULAR-TACHYCARDIA OCCURRING AFTER REPAIR OF TETRALOGY OF FALLOT [J].
HOROWITZ, LN ;
VETTER, VL ;
HARKEN, AH ;
JOSEPHSON, ME .
AMERICAN JOURNAL OF CARDIOLOGY, 1980, 46 (03) :446-452
[4]  
JOSEPHSON ME, 1978, CIRCULATION, V57, P439
[5]   CHARACTERIZATION OF DOUBLE POTENTIALS IN HUMAN ATRIAL-FLUTTER - STUDIES DURING TRANSIENT ENTRAINMENT [J].
OLSHANSKY, B ;
OKUMURA, K ;
HENTHORN, RW ;
WALDO, AL .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1990, 15 (04) :833-841
[6]   CLOCKWISE AND COUNTERCLOCKWISE BUNDLE-BRANCH REENTRY AS A MECHANISM FOR SUSTAINED VENTRICULAR-TACHYCARDIA MASQUERADING AS SUPRAVENTRICULAR TACHYCARDIA [J].
WANG, PJ ;
FRIEDMAN, PL .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1989, 12 (08) :1426-1432