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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Detalles Bibliográficos
Autores principales: Martini, Bortolo, Trevisi, Nicola, Martini, Nicolò, Zhang, Li
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609788/
https://www.ncbi.nlm.nih.gov/pubmed/26509086
http://dx.doi.org/10.1155/2015/708687
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author Martini, Bortolo
Trevisi, Nicola
Martini, Nicolò
Zhang, Li
author_facet Martini, Bortolo
Trevisi, Nicola
Martini, Nicolò
Zhang, Li
author_sort Martini, Bortolo
collection PubMed
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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spelling pubmed-46097882015-10-27 Right Ventricular Outflow Tract Tachycardia with Structural Abnormalities of the Right Ventricle and Left Ventricular Diverticulum Martini, Bortolo Trevisi, Nicola Martini, Nicolò Zhang, Li Case Rep Cardiol Case Report 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. Hindawi Publishing Corporation 2015 2015-10-05 /pmc/articles/PMC4609788/ /pubmed/26509086 http://dx.doi.org/10.1155/2015/708687 Text en Copyright © 2015 Bortolo Martini et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Martini, Bortolo
Trevisi, Nicola
Martini, Nicolò
Zhang, Li
Right Ventricular Outflow Tract Tachycardia with Structural Abnormalities of the Right Ventricle and Left Ventricular Diverticulum
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609788/
https://www.ncbi.nlm.nih.gov/pubmed/26509086
http://dx.doi.org/10.1155/2015/708687
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