Universität zu Köln

Sultan, A., Lueker, J., Willems, S. and Steven, D. (2014). Ablation of an idiopathic ventricular rarity - ventricular tachycardia originating from the crux cordis. Dtsch. Med. Wochenschr., 139 (39). S. 1929 - 1932. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4413

Full text not available from this repository.

Abstract

History and admission findings: A 62-year-old woman presented with history of repeat syncope and palpitations. She experienced aggravation of symptoms within the last few months. At referring hospital a ventricular tachycardia was already inducible during electrophysiological study. The patient was transferred to our hospital for VT ablation vs. ICD implantation. Investigation: No evidence for structural heart disease was revealed during TTE nor was a coronary heart disease detectable during coronary angiography, only hypertension was verifiable. No ICD implantation so far. Treatment and course: The patient underwent repeat EP study at our facility with induction of VT. Pace-mapping and mapping for earliest ventricular activation was performed. The middle-cardiac vein was revealed as site of earliest ventricular activation (50 ms) and good pace-map. Therefore, radiofrequency ablation at this site terminated successfully VT into sinus rhythm. Conclusion: Ablation of epicardial VT foci is successfully feasible via coronary sinus. With regard to typical ECG parameters an epicardial foci may be assumed precociously. The great cardiac vein is one of the most common sites of origin for epicardial foci, however, VT partially may originate from the crux cordis which is accessible for ablation via the middle cardiac vein with good ablation results.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Sultan, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lueker, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Willems, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Steven, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-429715
DOI:	10.1055/s-0034-1387311
Journal or Publication Title:	Dtsch. Med. Wochenschr.
Volume:	139
Number:	39
Page Range:	S. 1929 - 1932
Date:	2014
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-4413
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CATHETER ABLATION; ARRHYTHMIAS Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42971