Document Detail


Catheter ablation of isolated premature ventricular contractions arising from the sinus of Valsalva.
MedLine Citation:
PMID:  17700408     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Monomorphic premature ventricular contractions (PVCs) are a benign phenomenon in patients without structural heart disease. The focal source is usually localised in the right ventricular outflow tract and more rarely in the left ventricular outflow tract. We report two cases of frequent isolated PVCs treated with radiofrequency catheter ablation. Ventricular dysfunction was documented in one patient and the potential contribution of arrhythmia to ventricular dysfunction was suspected. In both patients electroanatomic mapping of the right and left ventricular outflow tracts was performed, which allowed identification of the earliest ventricular activation during PVCs. The site of the earliest ventricular activation was documented in both cases at the left coronary cusp of the aortic valve. Aortography was performed to disclose the relationship between the ablation catheter and the anatomic structure of the aortic root. PVCs were successfully eliminated with radiofrequency application in both patients.
Authors:
Filippo Lamberti; Rosalba Nardo; Leonardo Calò; Maria Luisa Loricchio; Riccardo Lemme; Roberto Maggi; Achille Gaspardone
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  8     ISSN:  1558-2027     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-16     Completed Date:  2007-10-25     Revised Date:  2009-05-28    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  732-7     Citation Subset:  IM    
Affiliation:
Division of Cardiology, St. Eugenio Hospital, Rome, Italy. filippo.lamberti@tin.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiomyopathy, Dilated / complications
Catheter Ablation*
Female
Heart Defects, Congenital / complications
Humans
Male
Sinus of Valsalva*
Treatment Outcome
Ventricular Premature Complexes / etiology,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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