Mechanism of ventricular tachycardia in a patient with double-outlet left ventricle

被引:1
作者
Benali, Karim [1 ,2 ]
Hammache, Nefissa [2 ,3 ]
Guenancia, Charles [2 ,4 ]
de Chillou, Christian [2 ,3 ]
机构
[1] St Etienne Univ Hosp, Dept Cardiol, St Priest En Jarez, France
[2] INSERM IADI, U947, Vandoeuvre Les Nancy, France
[3] Nancy Univ Hosp, Dept Cardiol, Vandoeuvre Les Nancy, France
[4] Dijon Univ Hosp, Dept Cardiol, Dijon, France
关键词
catheter ablation; double-outlet left ventricle; pace-mapping; slow conduction; ventricular tachycardia; REPAIR;
D O I
10.1111/jce.15232
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report the case of ventricular tachycardia (VT) ablation procedure in a patient with history of surgically repaired double-outlet left ventricle. The electrophysiology procedure revealed a re-entry pattern between the right-ventricle to main-pulmonary-artery conduit and the tricuspid annulus. The re-entrant mechanism was most likely promoted by a fibrous remodeling of this area, related to the surgical repair. This case is the first to describe a re-entry mechanism between fixed anatomical barriers in a repaired right ventricle of a double-outlet left ventricle. A pace mapping technique was used to highlight the VT isthmus.
引用
收藏
页码:3099 / 3102
页数:4
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