Radiofrequency Catheter Ablation of Idiopathic Left Ventricular Tachycardia Originating in Both Left Posterior and Anterior Fascicles

2004 ◽  
Vol 11 (3) ◽  
pp. 217-220 ◽  
Author(s):  
Majid Haghjoo ◽  
Arash Arya ◽  
Zahra Emkanjoo ◽  
Mohammad Ali SadrAmeli
1994 ◽  
Vol 5 (3) ◽  
pp. 268-273 ◽  
Author(s):  
HANS KOTTKAMP ◽  
XU CHEN ◽  
GERHARD HINDRICKS ◽  
STEPHAN WILLEMS ◽  
MARTIN BORGGREFE ◽  
...  

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Junji Yamaguchi ◽  
Yasutoshi Nagata ◽  
Yasuteru Yamauchi ◽  
Kenzo Hirao

Abstract Background Verapamil-sensitive fascicular ventricular tachycardia (VT) is the most common type of idiopathic left ventricular tachycardia, and it is divided into three types. Upper septal ventricular tachycardia (US-VT) is likely in patients with prior episodes of left posterior fascicular (LPF)-VT ablation, however, little is known about the recurrence mechanism of US-VT. Case summary A 53-year-old man had an US-VT after two catheter ablation sessions for a common idiopathic LPF-VT. The US-VT was successfully treated by ablating the proximal site of the LPF without making any further branch or fascicular block. This successful ablation point corresponded completely with the earliest pre-systolic potential (P2) site of the LPF-VT during the 1st session of catheter ablation. Discussion An US-VT recurrence could occur if a critical slow conduction is not affected by the catheter ablation. This recurrence might be the result of changing the re-entrant circuit after damage to the LPF. In order to eliminate the LPF-VT and prevent an US-VT recurrence, the earliest P2 site should be investigated carefully and ablated sufficiently.


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