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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Main Authors: Bortolo Martini, Nicola Trevisi, Nicolò Martini, Li Zhang
Format: Article
Language:English
Published: Wiley 2015-01-01
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.
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institution Kabale University
issn 2090-6404
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language English
publishDate 2015-01-01
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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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AT nicolomartini rightventricularoutflowtracttachycardiawithstructuralabnormalitiesoftherightventricleandleftventriculardiverticulum
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