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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Wiley
2013-01-01
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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. |
format | Article |
id | doaj-art-8dea2e19cf974832b44cb57939a60612 |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
record_format | Article |
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 |