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Idiopathic left ventricular outflow tract ectopy: a single focus with extremely divergent breakouts

BACKGROUND: Idiopathic ventricular tachycardia (VT) and/or premature ventricular contractions (PVCs) arise most commonly from the right ventricular outflow tract and less frequently from the left ventricular outflow tract (LVOT), either below or above the semilunar valves. CASE PRESENTATION: We repo...

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Autores principales: Gouda, Sherif, Wichterle, Dan, Peichl, Petr, Kautzner, Josef
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247694/
https://www.ncbi.nlm.nih.gov/pubmed/25406950
http://dx.doi.org/10.1186/1471-2261-14-161
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author Gouda, Sherif
Wichterle, Dan
Peichl, Petr
Kautzner, Josef
author_facet Gouda, Sherif
Wichterle, Dan
Peichl, Petr
Kautzner, Josef
author_sort Gouda, Sherif
collection PubMed
description BACKGROUND: Idiopathic ventricular tachycardia (VT) and/or premature ventricular contractions (PVCs) arise most commonly from the right ventricular outflow tract and less frequently from the left ventricular outflow tract (LVOT), either below or above the semilunar valves. CASE PRESENTATION: We report a case of 24-year-old man with idiopathic ventricular tachycardia from a single focus in the supravalvular left ventricular outflow tract with two extremely divergent breakouts observed during the ablation procedure. CONCLUSION: Focal sources of ventricular arrhythmia in the aortic root may have different preferential exits and meticulous activation sequence mapping is the preferable strategy to delineate the site of origin.
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spelling pubmed-42476942014-11-30 Idiopathic left ventricular outflow tract ectopy: a single focus with extremely divergent breakouts Gouda, Sherif Wichterle, Dan Peichl, Petr Kautzner, Josef BMC Cardiovasc Disord Case Report BACKGROUND: Idiopathic ventricular tachycardia (VT) and/or premature ventricular contractions (PVCs) arise most commonly from the right ventricular outflow tract and less frequently from the left ventricular outflow tract (LVOT), either below or above the semilunar valves. CASE PRESENTATION: We report a case of 24-year-old man with idiopathic ventricular tachycardia from a single focus in the supravalvular left ventricular outflow tract with two extremely divergent breakouts observed during the ablation procedure. CONCLUSION: Focal sources of ventricular arrhythmia in the aortic root may have different preferential exits and meticulous activation sequence mapping is the preferable strategy to delineate the site of origin. BioMed Central 2014-11-18 /pmc/articles/PMC4247694/ /pubmed/25406950 http://dx.doi.org/10.1186/1471-2261-14-161 Text en © Gouda et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Gouda, Sherif
Wichterle, Dan
Peichl, Petr
Kautzner, Josef
Idiopathic left ventricular outflow tract ectopy: a single focus with extremely divergent breakouts
title Idiopathic left ventricular outflow tract ectopy: a single focus with extremely divergent breakouts
title_full Idiopathic left ventricular outflow tract ectopy: a single focus with extremely divergent breakouts
title_fullStr Idiopathic left ventricular outflow tract ectopy: a single focus with extremely divergent breakouts
title_full_unstemmed Idiopathic left ventricular outflow tract ectopy: a single focus with extremely divergent breakouts
title_short Idiopathic left ventricular outflow tract ectopy: a single focus with extremely divergent breakouts
title_sort idiopathic left ventricular outflow tract ectopy: a single focus with extremely divergent breakouts
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247694/
https://www.ncbi.nlm.nih.gov/pubmed/25406950
http://dx.doi.org/10.1186/1471-2261-14-161
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