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Ventricular Tachycardia in Repaired Double Chambered Right Ventricle - Identification of the Substrate and Successful Ablation

A 35 year old female presented with recurrent ventricular tachycardia 5 years after she had undergone surgical repair of double chambered right ventricle. Electroanatomical mapping showed a localised scar in the apex with double potentials and good pace map. Ablation here resulted in non-inducibilit...

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Detalles Bibliográficos
Autores principales: Selvaraj, Raja J, Gobu, Pakkirisamy, Ashida, Thulaseedharan S, George, Geofi, Balachander, Jayaraman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Heart Rhythm Society 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3273955/
https://www.ncbi.nlm.nih.gov/pubmed/22368380
Descripción
Sumario:A 35 year old female presented with recurrent ventricular tachycardia 5 years after she had undergone surgical repair of double chambered right ventricle. Electroanatomical mapping showed a localised scar in the apex with double potentials and good pace map. Ablation here resulted in non-inducibility of ventricular tachycardia. We hypothesise that the scarring in the apex is the result of sustained pressure overload and becomes arrhythmogenic similar to the apical scar in patients with mid-ventricular hypertrophic cardiomyopathy.