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
Hauptverfasser: JIA‐FENG, LIN, YUE‐CHUN, LI, JIA, LI, KANG‐TING, JI, JIA‐XUAN, LIN, JI‐FEI, TANG, PENG‐LIN, YANG
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container_end_page e123
container_issue 5
container_start_page e120
container_title Pacing and clinical electrophysiology
container_volume 35
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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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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