Unusual features of right and left idiopathic ventricular tachycardia abolished by radiofrequency catheter ablation.
Two unusual cases are presented with idiopathic right and left ventricular tachycardia (IVT) with intriguing clinical and electrophysiological characteristics. The first patient with a sustained IVT of right ventricular outflow tract origin, and an electrophysiological mechanism suggesting reentry, had been resuscitated from cardiac arrest. The second patient had an IVT with a left bundle branch block morphology, which originated from the basal-septal region of the left ventricle (left ventricular outflow tract tachycardia). Both patients were cured with radiofrequency catheter ablation, guided by endocardial activation sequence and pace mapping.
Chiladakis
J A
JA
Department of Medicine, Patras University Medical School, Greece.
Vassilikos
V
V
Maounis
T
T
Cokkinos
D V
DV
Manolis
A S
AS
D000328:Adult; D002037:Bundle-Branch Block / Q000503:physiopathology / Q000601:surgery; D002304:Cardiac Pacing, Artificial; D017115:Catheter Ablation; D016757:Death, Sudden, Cardiac / Q000517:prevention & control; D015716:Electrocardiography, Ambulatory; D006352:Heart Ventricles / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D012307:Risk Factors; D012815:Signal Processing, Computer-Assisted; D017180:Tachycardia, Ventricular / Q000503:physiopathology / Q000601:surgery*; D018487:Ventricular Dysfunction, Left / Q000503:physiopathology / Q000601:surgery*; D018497:Ventricular Dysfunction, Right / Q000503:physiopathology / Q000601:surgery*; D018879:Ventricular Premature Complexes / Q000503:physiopathology / Q000601:surgery*