[Ventricular tachycardia with narrow QRS complex after cardiac surgery].
We present new-onset sustained monomorphic ventricular tachycardia with relatively narrow QRS (width of QRS feminine 120 ms) in the recovery period after aortic valve replacement and surgical revascularisation in a patient with a prior inferior wall myocardial infarction. Ventricular tachycardia probably originating from the left-side His-Purkinje system and mimicking idiopathic posterior fascicular tachycardia was diagnosed. Placement of a bypass graft across occluded artery supplying an infarct zone was a potential trigger of this arrhythmia.
Nagajewski
Adam
A
Katedra i Oddział Kliniczny Kardiochirurgii i Transplantologii, Slaski Uniwersytet Medyczny, Slaskie Centrum Chorób Serca, Zabrze. anagajewski@wp.pl
Morskaya
Marina
M
Zembala
Marian
M
D001021:Aortic Valve / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D004562:Electrocardiography; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000175:diagnosis* / Q000209:etiology*