Successful Epicardial Ablation of Idiopathic Mitral Annular Ventricular Tachycardia from the Great Cardiac Vein
This case report describes idiopathic ventricular tachycardia (VT) originating from the anterolateral site of mitral annulus. Radiofrequency (RF) energy application at an endocardial site of mitral annulus could not eliminate the tachycardia. The earliest epicardial activation preceding the onset of...
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Veröffentlicht in: | Pacing and clinical electrophysiology 2012-05, Vol.35 (5), p.e120-e123 |
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container_title | Pacing and clinical electrophysiology |
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creator | JIA‐FENG, LIN YUE‐CHUN, LI JIA, LI KANG‐TING, JI JIA‐XUAN, LIN JI‐FEI, TANG PENG‐LIN, YANG |
description | This case report describes idiopathic ventricular tachycardia (VT) originating from the anterolateral site of mitral annulus. Radiofrequency (RF) energy application at an endocardial site of mitral annulus could not eliminate the tachycardia. The earliest epicardial activation preceding the onset of the QRS complex by 34 ms was found at the great anterior cardiac vein just opposite to the endocardial ablation catheter, pace mapping provided an identical (12/12) match with the VT morphology at the site, and RF ablation effectively eliminated the VT from the great cardiac vein within the coronary venous system. (PACE 2012; 35:e120–e123) |
doi_str_mv | 10.1111/j.1540-8159.2010.03000.x |
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Radiofrequency (RF) energy application at an endocardial site of mitral annulus could not eliminate the tachycardia. The earliest epicardial activation preceding the onset of the QRS complex by 34 ms was found at the great anterior cardiac vein just opposite to the endocardial ablation catheter, pace mapping provided an identical (12/12) match with the VT morphology at the site, and RF ablation effectively eliminated the VT from the great cardiac vein within the coronary venous system. 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Radiofrequency (RF) energy application at an endocardial site of mitral annulus could not eliminate the tachycardia. The earliest epicardial activation preceding the onset of the QRS complex by 34 ms was found at the great anterior cardiac vein just opposite to the endocardial ablation catheter, pace mapping provided an identical (12/12) match with the VT morphology at the site, and RF ablation effectively eliminated the VT from the great cardiac vein within the coronary venous system. (PACE 2012; 35:e120–e123)</description><subject>Adult</subject><subject>catheter ablation</subject><subject>coronary sinus</subject><subject>Coronary Vessels - surgery</subject><subject>Electrocardiography</subject><subject>epicardia</subject><subject>Heart Conduction System - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Mitral Valve - surgery</subject><subject>Pericardium - surgery</subject><subject>Tachycardia, Ventricular - diagnosis</subject><subject>Tachycardia, Ventricular - surgery</subject><subject>Treatment Outcome</subject><subject>Veins - surgery</subject><subject>ventricular tachycardia</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMlqwzAQhkVpadLlFYqOvdgdWXIiXQohpAuktNDlKmQtRMGxU8mmydvXTtKcq4uGme-fgQ8hTCAl3btbpiRnkHCSizSDrgsUANLNCRoeB6doCISNE065GKCLGJcdMgKWn6NBRjLgGRVDVL-3WtsYXVvi2dprFYxXJZ4UpWp8XeHa4Wfj67VqFl7jF9-EflpVbakC_rJVE7ze1R9KL7b7OHahXuFmYfFjsKrB011Xd7ivrtCZU2W014f_En0-zD6mT8n89fF5OpknmtERJI4TarOcgFCMOqVyI0Ax7qwh2Yi7seDjwjFniKLCCMoM2NyooqAgmHOE00t0u9-7DvV3a2MjVz5qW5aqsnUbJQFCOGMEsg7le1SHOsZgnVwHv1Jh20Gy1y2Xsrcqe6uy1y13uuWmi94crrTFyppj8M9vB9zvgR9f2u2_F8u3yXTWl_QXWIqO_A</recordid><startdate>201205</startdate><enddate>201205</enddate><creator>JIA‐FENG, LIN</creator><creator>YUE‐CHUN, LI</creator><creator>JIA, LI</creator><creator>KANG‐TING, JI</creator><creator>JIA‐XUAN, LIN</creator><creator>JI‐FEI, TANG</creator><creator>PENG‐LIN, YANG</creator><general>Blackwell Publishing Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201205</creationdate><title>Successful Epicardial Ablation of Idiopathic Mitral Annular Ventricular Tachycardia from the Great Cardiac Vein</title><author>JIA‐FENG, LIN ; YUE‐CHUN, LI ; JIA, LI ; KANG‐TING, JI ; JIA‐XUAN, LIN ; JI‐FEI, TANG ; PENG‐LIN, YANG</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4360-f813e25109a43faa5d90a48fed1268f7987bf4fd1a39d934d0e5dabb3094ff183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>catheter ablation</topic><topic>coronary sinus</topic><topic>Coronary Vessels - surgery</topic><topic>Electrocardiography</topic><topic>epicardia</topic><topic>Heart Conduction System - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Mitral Valve - surgery</topic><topic>Pericardium - surgery</topic><topic>Tachycardia, Ventricular - diagnosis</topic><topic>Tachycardia, Ventricular - surgery</topic><topic>Treatment Outcome</topic><topic>Veins - surgery</topic><topic>ventricular tachycardia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>JIA‐FENG, LIN</creatorcontrib><creatorcontrib>YUE‐CHUN, LI</creatorcontrib><creatorcontrib>JIA, LI</creatorcontrib><creatorcontrib>KANG‐TING, JI</creatorcontrib><creatorcontrib>JIA‐XUAN, LIN</creatorcontrib><creatorcontrib>JI‐FEI, TANG</creatorcontrib><creatorcontrib>PENG‐LIN, YANG</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>JIA‐FENG, LIN</au><au>YUE‐CHUN, LI</au><au>JIA, LI</au><au>KANG‐TING, JI</au><au>JIA‐XUAN, LIN</au><au>JI‐FEI, TANG</au><au>PENG‐LIN, YANG</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful Epicardial Ablation of Idiopathic Mitral Annular Ventricular Tachycardia from the Great Cardiac Vein</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>2012-05</date><risdate>2012</risdate><volume>35</volume><issue>5</issue><spage>e120</spage><epage>e123</epage><pages>e120-e123</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>This case report describes idiopathic ventricular tachycardia (VT) originating from the anterolateral site of mitral annulus. 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source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
subjects | Adult catheter ablation coronary sinus Coronary Vessels - surgery Electrocardiography epicardia Heart Conduction System - surgery Humans Male Mitral Valve - surgery Pericardium - surgery Tachycardia, Ventricular - diagnosis Tachycardia, Ventricular - surgery Treatment Outcome Veins - surgery ventricular tachycardia |
title | Successful Epicardial Ablation of Idiopathic Mitral Annular Ventricular Tachycardia from the Great Cardiac Vein |
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