title: [Case report: idiopathic ventricular tachycardia from the aortic sinus cusp].
abstract: Idiopathic ventricular tachycardia is identified in 10% of the patients presenting with ventricular tachycardia, and they consist of various subtypes that can originate from different areas, including the aortic cusps which represent 0.7% of the total. Electrocardiographically, these ventricular tachycardias display a left bundle branch block pattern and inferior axis, and although rare, should be considered in the differential diagnosis with tachycardias originating from the septal region of the right ventricular outflow tract, which comprise 80% of the idiopathic ventricular tachycardias. Despite the vicinity of the left coronary artery ostium, radiofrequency catheter ablation can be curative in more than 90% of cases with a low risk (< 1% of serious complication). Therefore, it must be considered first-line therapy in patients who have failed or are intolerant to therapy with antiarrhythmic agents. The aim of this article is to describe the first case reported in Mexico of a successful ablation idiopathic ventricular tachycardia from the aortic sinus cusp in a patient with incessant ventricular tachycardia.
authors.affiliation: Departamento de Electrocardiografía del Instituto Nacional de Cardiología Ignacio Chávez, México. luiscarlos3008@hotmail.com
authors.forename: Luis Carlos
authors.initials: LC
authors.lastname: Tejera-Jurado
authors.forename: Santiago
authors.initials: S
authors.lastname: Nava
authors.forename: Luis
authors.initials: L
authors.lastname: Colín-Lizalde
authors.forename: Manlio F
authors.initials: MF
authors.lastname: Márquez
authors.forename: Jorge
authors.initials: J
authors.lastname: Gómez-Flores
authors.forename: Jesús Antonio
authors.initials: JA
authors.lastname: González-Hermosillo
authors.forename: Pedro
authors.initials: P
authors.lastname: Iturralde-Torres
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D012850:Sinus of Valsalva; D017180:Tachycardia, Ventricular / Q000175:diagnosis / Q000503:physiopathology