Ventricular tachycardia: a life-threatening arrhythmia in a patient with congenitally corrected transposition of the great arteries.
Ventricular tachycardia (VT) is an uncommon finding in patients with congenitally corrected transposition of the great arteries (CCTGA). Cardiac death in patients with CCTGA has been attributed to complete heart block, systemic ventricular dysfunction, or severe AV valve regurgitation with heart failure. We describe the case of a patient who presented with palpitations and near-syncope that was associated with clinical episodes of VT. Programmed ventricular stimulation revealed easily inducible sustained VT that immediately degenerated to ventricular fibrillation and subsequently required therapy with an implantable cardioverter defibrillator.
Fontaine
J M
JM
Allegheny University of the Health Sciences, The Medical College of Pennsylvania and Hahnemann University School of Medicine, Philadelphia 19129, USA. Fontaine@Auhs.edu
Kamal
B M
BM
Sokil
A B
AB
Wolf
N M
NM
D000328:Adult; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D006801:Humans; D008297:Male; D017180:Tachycardia, Ventricular / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy; D014188:Transposition of Great Vessels / Q000150:complications / Q000503:physiopathology* / Q000601:surgery