Top

Published in:

01-01-2009 | CLINICAL CORRESPONDENCE

Catheter ablation of an incessant ventricular tachycardia originating from the left aortic sinus cusp in an adolescent with subacute myocarditis

Authors: Klaus Kettering, MD, Christoph Kampmann, MD, Hanke Mollnau, MD, Karl-Friedrich Kreitner, MD, Thomas Münzel, MD, Christian Weiß, MD

Published in: Clinical Research in Cardiology | Issue 1/2009

Excerpt

Sirs: A 13-year-old girl was referred to our hospital because of recurrent dizziness and palpitations. On admission, several twelve-lead ECG recordings showed an incessant ventricular tachycardia (VT) with an inferior axis and a left bundle branch block pattern (approximately 130 beats/min; Fig. 1a). There was a history of palpitations (for 1 month), but no structural heart disease. The tachycardia was poorly tolerated by the patient. She suffered from severe dizziness during VT episodes and was transferred to the intensive care unit. Laboratory tests did not reveal any abnormalities and there was no evidence for myocardial ischemia or an acute inflammatory process. …

Gonzalez Y Gonzalez M, Will J, Tuscu V, Schranz D, Blaufox A, Saul J, Paul T (2003) Idiopathic monomorphic ventricular tachycardia originating from the left aortic sinus cusp in children: endocardial mapping and radiofrequency catheter ablation. Z Kardiol 92:155–163PubMedCrossRef

Kanagaratnam L, Tomassoni G, Schweikert R, Pavia S, Bash D, Beheiry S, Niebauer M, Saliba W, Chung M, Tchou P, Natale A (2001) Ventricular tachycardia arising from the aortic sinus of valsalva: an under-recognized variant of left outflow tract ventricular tachycardia. J Am Coll Cardiol 37:1408–1414PubMedCrossRef

Merino J, Peinado R, Ramirez L, Echeverria I, Sobrino J (2000) Ablation of idiopathic ventricular tachycardia by bipolar radiofrequency current application between the left aortic sinus and the left ventricle. Europace 2:350–354PubMedCrossRef

Nakagawa H, Yamanashi W, Pitha J, Arruda M, Wang X, Ohtomo K, Beckman K, McClelland J, Lazzara R, Jackman W (1995) Comparison of in vivo tissue temperature profile and lesion geometry for radiofrequency ablation with a saline-irrigated electrode versus temperature control in a canine thigh muscle preparation. Circulation 91(8):2264–2273PubMed

Ouyang F, Fotuhi P, Ho S, Hebe J, Volkmer M, Goya M, Burns M, Antz M, Ernst S, Cappato R, Kuck K (2002) Repetitive monomorphic ventricular tachycardia originating from the aortic sinus cusp. Electrocardiographic characterization for guiding catheter ablation. J Am Coll Cardiol 39: 500–508PubMedCrossRef

Sadanaga T, Saeki K, Yoshimoto T, Funatsu Y, Miyazaki T (1999) Repetitive monomorphic ventricular tachycardia of the left coronary cusp origin. Pacing Clin Electrophysiol 22:1553–1556PubMedCrossRef

Schreieck J, Zrenner B, Deisenhofer I, Schmitt C (2005) Rescue ablation of electrical storm in patients with ischemic cardiomyopathy: a potential-guided ablation approach by modifying substrate of intractable, unmappable ventricular tachycardia. Heart Rhythm 2:10–14PubMedCrossRef

Schreieck J, Hessling G, Pustowoit A, Schmitt C (2006) Ventricular tachycardia. In: Schmitt C, Deisenhofer I, Zrenner B (eds) Catheter ablation of cardiac arrhythmias, 1st edn. Steinkopff, Darmstadt pp 184–210

Shimoike E, Ohnishi Y, Ueda N, Maruyama T, Kaji Y (1999) Radiofrequency catheter ablation of the left ventricular outflow tachycardia from the coronary cusp: a new approach to the tachycardia focus. J Cardiovasc Electrophysiol 10:1005–1009PubMedCrossRef

10.

Tada H, Naito S, Ito S, Kurosaki K, Ueda M, Shinbo G, Hoshizaki H, Oshima S, Taniguchi K, Nogami A (2004) Significance of two potentials for predicting successful catheter ablation from the left sinus of valsalva for left ventricular epicardial tachycardia. PACE 27:1053–1059PubMed

11.

Weiss C, Antz M, Eick O, Eshagzaiy K, Meinertz T, Willems S (2002) Radiofrequency catheter ablation using cooled electrodes: impact of irrigation flow rate and catheter contact pressure on lesion dimensions. Pacing Clin Electropysiol 25:463–469.CrossRef

Title: Catheter ablation of an incessant ventricular tachycardia originating from the left aortic sinus cusp in an adolescent with subacute myocarditis
Authors: Klaus Kettering, MD
Christoph Kampmann, MD
Hanke Mollnau, MD
Karl-Friedrich Kreitner, MD
Thomas Münzel, MD
Christian Weiß, MD
Publication date: 01-01-2009
Publisher: D. Steinkopff-Verlag
Published in: Clinical Research in Cardiology / Issue 1/2009
Print ISSN: 1861-0684
Electronic ISSN: 1861-0692
DOI: https://doi.org/10.1007/s00392-008-0717-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Catheter ablation of an incessant ventricular tachycardia originating from the left aortic sinus cusp in an adolescent with subacute myocarditis

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 1/2009

A dramatic storm of idiopathic ventricular fibrillation

Highlights of the hotline sessions presented at the scientific sessions 2008 of the American Heart Association

Asymptomatic malposition of pacemaker lead associated with thrombus

Post-exercise heart rate recovery in healthy, obeses, and COPD subjects: relationships with blood lactic acid and PaO2 levels

Azithromycin does not prevent six-month myointimal proliferation but attenuates the transient systemic inflammation occurring after coronary stenting

Acute aortitis with spinal artery aneurysms detected by contrast enhanced magnetic resonance imaging