Focal Left Atrial Tachycardia in a Patient with Left Ventricular Noncompaction

Left ventricular noncompaction (LVNC) is a rare disease caused by intrauterine failure of the myocardium to compact. The major clinical manifestations of LVNC include heart failure, ventricular tachyarrhythmia, thromboembolic event, and sudden deaths. Atrial arrhythmia usually seen is atrial fibrill...

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Main Authors: Shailendra Singh, Gulam Parihar, Rohit Rao, Vishal Goyal
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2013/430862
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author Shailendra Singh
Gulam Parihar
Rohit Rao
Vishal Goyal
author_facet Shailendra Singh
Gulam Parihar
Rohit Rao
Vishal Goyal
author_sort Shailendra Singh
collection DOAJ
description Left ventricular noncompaction (LVNC) is a rare disease caused by intrauterine failure of the myocardium to compact. The major clinical manifestations of LVNC include heart failure, ventricular tachyarrhythmia, thromboembolic event, and sudden deaths. Atrial arrhythmia usually seen is atrial fibrillation. We report a rare case of focal left atrial tachycardia in an 18-year-old patient who presented for evaluation of persistent tachycardia. Transthoracic echocardiogram showed severe systolic dysfunction and evidence of noncompaction of the left ventricle. A detailed review of ECG revealed the possibility of ectopic atrial tachycardia, most likely originating from the left side. Electrophysiology study showed sustained atrial tachycardia originating on the ridge anterior to the left sided pulmonary veins. A successful radiofrequency catheter ablation was performed at this site without any complications.
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institution Kabale University
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publishDate 2013-01-01
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series Case Reports in Medicine
spelling doaj-art-8dea2e19cf974832b44cb57939a606122025-02-03T07:26:03ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/430862430862Focal Left Atrial Tachycardia in a Patient with Left Ventricular NoncompactionShailendra Singh0Gulam Parihar1Rohit Rao2Vishal Goyal3Division of Internal Medicine, West Penn Allegheny Health System, 320 East North Avenue, Pittsburgh, PA 15212, USADivision of Internal Medicine, West Penn Allegheny Health System, 320 East North Avenue, Pittsburgh, PA 15212, USADivision of Internal Medicine, West Penn Allegheny Health System, 320 East North Avenue, Pittsburgh, PA 15212, USADivision of Internal Medicine, West Penn Allegheny Health System, 320 East North Avenue, Pittsburgh, PA 15212, USALeft ventricular noncompaction (LVNC) is a rare disease caused by intrauterine failure of the myocardium to compact. The major clinical manifestations of LVNC include heart failure, ventricular tachyarrhythmia, thromboembolic event, and sudden deaths. Atrial arrhythmia usually seen is atrial fibrillation. We report a rare case of focal left atrial tachycardia in an 18-year-old patient who presented for evaluation of persistent tachycardia. Transthoracic echocardiogram showed severe systolic dysfunction and evidence of noncompaction of the left ventricle. A detailed review of ECG revealed the possibility of ectopic atrial tachycardia, most likely originating from the left side. Electrophysiology study showed sustained atrial tachycardia originating on the ridge anterior to the left sided pulmonary veins. A successful radiofrequency catheter ablation was performed at this site without any complications.http://dx.doi.org/10.1155/2013/430862
spellingShingle Shailendra Singh
Gulam Parihar
Rohit Rao
Vishal Goyal
Focal Left Atrial Tachycardia in a Patient with Left Ventricular Noncompaction
Case Reports in Medicine
title Focal Left Atrial Tachycardia in a Patient with Left Ventricular Noncompaction
title_full Focal Left Atrial Tachycardia in a Patient with Left Ventricular Noncompaction
title_fullStr Focal Left Atrial Tachycardia in a Patient with Left Ventricular Noncompaction
title_full_unstemmed Focal Left Atrial Tachycardia in a Patient with Left Ventricular Noncompaction
title_short Focal Left Atrial Tachycardia in a Patient with Left Ventricular Noncompaction
title_sort focal left atrial tachycardia in a patient with left ventricular noncompaction
url http://dx.doi.org/10.1155/2013/430862
work_keys_str_mv AT shailendrasingh focalleftatrialtachycardiainapatientwithleftventricularnoncompaction
AT gulamparihar focalleftatrialtachycardiainapatientwithleftventricularnoncompaction
AT rohitrao focalleftatrialtachycardiainapatientwithleftventricularnoncompaction
AT vishalgoyal focalleftatrialtachycardiainapatientwithleftventricularnoncompaction