A case of outflow tract premature ventricular contractions with very distant exit sites suspected to have a single origin

被引:2
|
作者
Sekihara, Takayuki [1 ]
Miyazaki, Shinsuke [1 ]
Nagao, Moeko [1 ]
Kakehashi, Shota [1 ]
Mukai, Moe [1 ]
Aoyama, Daisetsu [1 ]
Nodera, Minoru [1 ]
Eguchi, Tomoya [1 ]
Hasegawa, Kanae [1 ]
Tada, Hiroshi [1 ]
机构
[1] Univ Fukui, Fac Med Sci, Dept Cardiovasc Med, Fukui, Japan
关键词
Premature ventricular contraction; Preferential pathway; Exit shift; ARRHYTHMIAS; ABLATION; SINUS;
D O I
10.1016/j.jelectrocard.2020.09.015
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Outflow tract premature ventricular contractions sometimes demonstrate multiple exit sites in the right and left outflow tracts with preferential pathways. Here we present a case of outflow tract premature ventricular contractions, which were eliminated by ablation from the right ventricular outflow tract accompanied by additional ablation from the very distant endocardial left ventricular outflow tract. The findings during the ablation indicated there was a single origin with multiple exit sites rather than multiple origins for each QRS morphology. This case illustrates that the preferential pathways can demonstrate very distant multiple exit sites. (C) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码:41 / 45
页数:5
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