A case of premature ventricular complexes/ventricular tachycardia from the left ventricular outflow tract successfully ablated from the distal great cardiac vein

Takahiro Mito; Masao Takemoto; Honsa Kang; Yuki Kawano; Atsushi Tanaka; Ryota Aoki; Yoshibumi Antoku; Atsutoshi Matsuo; Satoru Hida; Teiji Okazaki; Kiyonobu Yoshitake; Kei-Ichiro Tayama; Ken-Ichi Kosuga

doi:10.1016/j.jccase.2017.05.005

A case of premature ventricular complexes/ventricular tachycardia from the left ventricular outflow tract successfully ablated from the distal great cardiac vein

J Cardiol Cases. 2017 Jun 20;16(3):85-88. doi: 10.1016/j.jccase.2017.05.005. eCollection 2017 Sep.

Affiliation

¹ Cardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, Japan.

Abstract

We experienced a 41-year-old male with premature ventricular complexes/ventricular tachycardia from the left coronary cusp and distal great cardiac vein of the left ventricular outflow tract successfully treated by radiofrequency catheter ablation utilizing a 3D mapping system (EnSiteNavX/Velocity™ Cardiac Mapping System, St. Jude Medical, St. Paul, MN, USA) without any complications. <Learning objective: The approach from the distal great cardiac vein should be considered as a potential approach and may be one of the effective strategies for ablation of left ventricular outflow tract-premature ventricular complexes/ventricular tachycardia (PVC/VTs). Radiofrequency catheter ablation of frequent PVC/VTs may improve the clinical status and cardiac function.>.

Keywords: Great cardiac vein; Premature ventricular complex; Radiofrequency catheter ablation; Ventricular tachycardia.

Publication types

Case Reports