Right Ventricular Outflow Tract Tachycardia with Structural Abnormalities of the Right Ventricle and Left Ventricular Diverticulum
A 43-year-old woman presented to the emergency room with a sustained ventricular tachycardia (VT). ECG showed a QRS in left bundle branch block morphology with inferior axis. Echocardiography, ventricular angiography, and cardiac magnetic resonance imaging (CMRI) revealed a normal right ventricle an...
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Language: | English |
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Wiley
2015-01-01
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Series: | Case Reports in Cardiology |
Online Access: | http://dx.doi.org/10.1155/2015/708687 |
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author | Bortolo Martini Nicola Trevisi Nicolò Martini Li Zhang |
author_facet | Bortolo Martini Nicola Trevisi Nicolò Martini Li Zhang |
author_sort | Bortolo Martini |
collection | DOAJ |
description | A 43-year-old woman presented to the emergency room with a sustained ventricular tachycardia (VT). ECG showed a QRS in left bundle branch block morphology with inferior axis. Echocardiography, ventricular angiography, and cardiac magnetic resonance imaging (CMRI) revealed a normal right ventricle and a left ventricular diverticulum. Electrophysiology studies with epicardial voltage mapping identified a large fibrotic area in the inferolateral layer of the right ventricular wall and a small area of fibrotic tissue at the anterior right ventricular outflow tract. VT ablation was successfully performed with combined epicardial and endocardial approaches. |
format | Article |
id | doaj-art-24fbcac3f8bd491eb669019d619766c7 |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2015-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Cardiology |
spelling | doaj-art-24fbcac3f8bd491eb669019d619766c72025-02-03T01:20:24ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/708687708687Right Ventricular Outflow Tract Tachycardia with Structural Abnormalities of the Right Ventricle and Left Ventricular DiverticulumBortolo Martini0Nicola Trevisi1Nicolò Martini2Li Zhang3Cardiovascular Unit, Alto Vicentino Hospital, Via Gioberti 9, 36016 Thiene, ItalySan Raffaele Hospital, 20132 Milan, ItalyCardiovascular Unit, Alto Vicentino Hospital, Via Gioberti 9, 36016 Thiene, ItalyLankenau Medical Center, Wynnewood, PA 19096, USAA 43-year-old woman presented to the emergency room with a sustained ventricular tachycardia (VT). ECG showed a QRS in left bundle branch block morphology with inferior axis. Echocardiography, ventricular angiography, and cardiac magnetic resonance imaging (CMRI) revealed a normal right ventricle and a left ventricular diverticulum. Electrophysiology studies with epicardial voltage mapping identified a large fibrotic area in the inferolateral layer of the right ventricular wall and a small area of fibrotic tissue at the anterior right ventricular outflow tract. VT ablation was successfully performed with combined epicardial and endocardial approaches.http://dx.doi.org/10.1155/2015/708687 |
spellingShingle | Bortolo Martini Nicola Trevisi Nicolò Martini Li Zhang Right Ventricular Outflow Tract Tachycardia with Structural Abnormalities of the Right Ventricle and Left Ventricular Diverticulum Case Reports in Cardiology |
title | Right Ventricular Outflow Tract Tachycardia with Structural Abnormalities of the Right Ventricle and Left Ventricular Diverticulum |
title_full | Right Ventricular Outflow Tract Tachycardia with Structural Abnormalities of the Right Ventricle and Left Ventricular Diverticulum |
title_fullStr | Right Ventricular Outflow Tract Tachycardia with Structural Abnormalities of the Right Ventricle and Left Ventricular Diverticulum |
title_full_unstemmed | Right Ventricular Outflow Tract Tachycardia with Structural Abnormalities of the Right Ventricle and Left Ventricular Diverticulum |
title_short | Right Ventricular Outflow Tract Tachycardia with Structural Abnormalities of the Right Ventricle and Left Ventricular Diverticulum |
title_sort | right ventricular outflow tract tachycardia with structural abnormalities of the right ventricle and left ventricular diverticulum |
url | http://dx.doi.org/10.1155/2015/708687 |
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