title: [Ventricular tachycardia with narrow QRS complex after cardiac surgery].
abstract: 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.
authors.affiliation: Katedra i Oddział Kliniczny Kardiochirurgii i Transplantologii, Slaski Uniwersytet Medyczny, Slaskie Centrum Chorób Serca, Zabrze. anagajewski@wp.pl
authors.forename: Adam
authors.initials: A
authors.lastname: Nagajewski
authors.forename: Marina
authors.initials: M
authors.lastname: Morskaya
authors.forename: Marian
authors.initials: M
authors.lastname: Zembala
mesh_terms: 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*