Successful Radiofrequency Catheter Ablation for Macroreentrant Ventricular Tachycardias in a Patient with Tetralogy of Fallot After Corrective Surgery
CHINUSHI, M., et al.: Successful Radiofrequency Catheter Ablation for Macroreentrant Ventricular Tachycardias in a Patient with Tetralogy of Fallot After Corrective Surgery. Radiofrequency (RF) catheter ablation was applied to two macroreentrant ventricular tachycardias (VTs) documented after correc...
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Veröffentlicht in: | Pacing and clinical electrophysiology 1995-09, Vol.18 (9), p.1713-1716 |
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creator | CHINUSHI, MASAOMI AIZAWA, YOSHIFUSA KITAZAWA, HITOSHI KUSANO, YORIKO WASHIZUKA, TAKASHI SHIBATA, AKIRA |
description | CHINUSHI, M., et al.: Successful Radiofrequency Catheter Ablation for Macroreentrant Ventricular Tachycardias in a Patient with Tetralogy of Fallot After Corrective Surgery. Radiofrequency (RF) catheter ablation was applied to two macroreentrant ventricular tachycardias (VTs) documented after corrective operation for tetralogy of Fallot. The activation wavefront of VT with a right bundle branch block pattern was found to revolve in a clockwise manner around a presumed myotomy scar in the right ventricle, and VT with a left bundle branch block pattern revolved around the same anatomical obstacle in a counterclockwise manner. In both VTs, the biggest conduction delay was confirmed at the right ventricular outflow tract. RF applications to the slow conduction area terminated each VT within a few seconds but were insufficient to cure the VTs. RF lesions were then applied to the, slow conduction area in a line to intersect the macroreentrant circuit, and both VTs became noninducible. |
doi_str_mv | 10.1111/j.1540-8159.1995.tb06994.x |
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Radiofrequency (RF) catheter ablation was applied to two macroreentrant ventricular tachycardias (VTs) documented after corrective operation for tetralogy of Fallot. The activation wavefront of VT with a right bundle branch block pattern was found to revolve in a clockwise manner around a presumed myotomy scar in the right ventricle, and VT with a left bundle branch block pattern revolved around the same anatomical obstacle in a counterclockwise manner. In both VTs, the biggest conduction delay was confirmed at the right ventricular outflow tract. RF applications to the slow conduction area terminated each VT within a few seconds but were insufficient to cure the VTs. RF lesions were then applied to the, slow conduction area in a line to intersect the macroreentrant circuit, and both VTs became noninducible.</description><subject>Adolescent</subject><subject>Bundle-Branch Block - physiopathology</subject><subject>Catheter Ablation</subject><subject>Cicatrix - physiopathology</subject><subject>Electrocardiography</subject><subject>Heart Ventricles - physiopathology</subject><subject>Heart Ventricles - surgery</subject><subject>Humans</subject><subject>macroreentrant ventricular tachycardia</subject><subject>Male</subject><subject>Postoperative Complications - surgery</subject><subject>Pulmonary Valve - physiopathology</subject><subject>radiofrequency ablation</subject><subject>Tachycardia, Ventricular - physiopathology</subject><subject>Tachycardia, Ventricular - surgery</subject><subject>tetralogy of Fallot</subject><subject>Tetralogy of Fallot - surgery</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVUV1v0zAUjRBolMFPQLJ44C2Z3ThxzBNV9sGkMgYrjDfLdq5XlzQZtsOaP8LvxVGrvuOXa-l8XN1zkuQdwRmJ72yTkYLitCIFzwjnRRYULjmn2e5ZMjtCz5MZJpSlVV7xl8kr7zcY4xLT4iQ5YZSTnJSz5O_doDV4b4YWfZON7Y2D3wN0ekS1DGsI4NBCtTLYvkOmd-iz1K53AF1wsgvox_SxemilQyup16OWrrHSI9shiW6jLhLQkw1rtIIoafuHEfUGXcq27QNamGlB3TsHOtg_gO4G9wBufJ28MLL18OYwT5Pvlxer-lO6_HJ1XS-WqaaY5ymnTLFcaqANyFJxRQnBpS5NUeZKG8PmqoqBAZ3nSknO5qQwTamZogoqg5v8NHm_9310fTzbB7G1XkPbyg76wQvGYq4VLiPxw54Yr_fegRGPzm6lGwXBYipFbMSUvJiSF1Mp4lCK2EXx28OWQW2hOUoPLUT84x5_si2M_-Esbhf1BWEkjxbp3sL6ALujhXS_RMlyVoj7myvx8yu_xzerc7HM_wH4aLC3</recordid><startdate>199509</startdate><enddate>199509</enddate><creator>CHINUSHI, MASAOMI</creator><creator>AIZAWA, YOSHIFUSA</creator><creator>KITAZAWA, HITOSHI</creator><creator>KUSANO, YORIKO</creator><creator>WASHIZUKA, TAKASHI</creator><creator>SHIBATA, AKIRA</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><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>199509</creationdate><title>Successful Radiofrequency Catheter Ablation for Macroreentrant Ventricular Tachycardias in a Patient with Tetralogy of Fallot After Corrective Surgery</title><author>CHINUSHI, MASAOMI ; AIZAWA, YOSHIFUSA ; KITAZAWA, HITOSHI ; KUSANO, YORIKO ; WASHIZUKA, TAKASHI ; SHIBATA, AKIRA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4093-947b73ace4dea6b9b41106c6f563bcff72b8111e423bba97215fd6c7b4be8f0d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adolescent</topic><topic>Bundle-Branch Block - physiopathology</topic><topic>Catheter Ablation</topic><topic>Cicatrix - physiopathology</topic><topic>Electrocardiography</topic><topic>Heart Ventricles - physiopathology</topic><topic>Heart Ventricles - surgery</topic><topic>Humans</topic><topic>macroreentrant ventricular tachycardia</topic><topic>Male</topic><topic>Postoperative Complications - surgery</topic><topic>Pulmonary Valve - physiopathology</topic><topic>radiofrequency ablation</topic><topic>Tachycardia, Ventricular - physiopathology</topic><topic>Tachycardia, Ventricular - surgery</topic><topic>tetralogy of Fallot</topic><topic>Tetralogy of Fallot - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHINUSHI, MASAOMI</creatorcontrib><creatorcontrib>AIZAWA, YOSHIFUSA</creatorcontrib><creatorcontrib>KITAZAWA, HITOSHI</creatorcontrib><creatorcontrib>KUSANO, YORIKO</creatorcontrib><creatorcontrib>WASHIZUKA, TAKASHI</creatorcontrib><creatorcontrib>SHIBATA, AKIRA</creatorcontrib><collection>Istex</collection><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>CHINUSHI, MASAOMI</au><au>AIZAWA, YOSHIFUSA</au><au>KITAZAWA, HITOSHI</au><au>KUSANO, YORIKO</au><au>WASHIZUKA, TAKASHI</au><au>SHIBATA, AKIRA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful Radiofrequency Catheter Ablation for Macroreentrant Ventricular Tachycardias in a Patient with Tetralogy of Fallot After Corrective Surgery</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>1995-09</date><risdate>1995</risdate><volume>18</volume><issue>9</issue><spage>1713</spage><epage>1716</epage><pages>1713-1716</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>CHINUSHI, M., et al.: Successful Radiofrequency Catheter Ablation for Macroreentrant Ventricular Tachycardias in a Patient with Tetralogy of Fallot After Corrective Surgery. Radiofrequency (RF) catheter ablation was applied to two macroreentrant ventricular tachycardias (VTs) documented after corrective operation for tetralogy of Fallot. The activation wavefront of VT with a right bundle branch block pattern was found to revolve in a clockwise manner around a presumed myotomy scar in the right ventricle, and VT with a left bundle branch block pattern revolved around the same anatomical obstacle in a counterclockwise manner. In both VTs, the biggest conduction delay was confirmed at the right ventricular outflow tract. RF applications to the slow conduction area terminated each VT within a few seconds but were insufficient to cure the VTs. RF lesions were then applied to the, slow conduction area in a line to intersect the macroreentrant circuit, and both VTs became noninducible.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>7491316</pmid><doi>10.1111/j.1540-8159.1995.tb06994.x</doi><tpages>4</tpages></addata></record> |
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subjects | Adolescent Bundle-Branch Block - physiopathology Catheter Ablation Cicatrix - physiopathology Electrocardiography Heart Ventricles - physiopathology Heart Ventricles - surgery Humans macroreentrant ventricular tachycardia Male Postoperative Complications - surgery Pulmonary Valve - physiopathology radiofrequency ablation Tachycardia, Ventricular - physiopathology Tachycardia, Ventricular - surgery tetralogy of Fallot Tetralogy of Fallot - surgery |
title | Successful Radiofrequency Catheter Ablation for Macroreentrant Ventricular Tachycardias in a Patient with Tetralogy of Fallot After Corrective Surgery |
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