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
Hauptverfasser: CHINUSHI, MASAOMI, AIZAWA, YOSHIFUSA, KITAZAWA, HITOSHI, KUSANO, YORIKO, WASHIZUKA, TAKASHI, SHIBATA, AKIRA
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container_end_page 1716
container_issue 9
container_start_page 1713
container_title Pacing and clinical electrophysiology
container_volume 18
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.</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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