Abstract
Eight patients with idiopathic ventricular tachycardia (VT) underwent mapping and radiofrequency ablation. Mapping showed VT originating in the high posterolateral left ventricular outflow tract in proximity to the left main and proximal circumflex coronary arteries. Ablation was not attempted due to this proximity to the left main and proximal circumflex coronary arteries. Ablation was not attempted due to this proximity in 2 patients and limited in 1 patient. It was successful in VT suppression in 5 of 6 patients.
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Nakagawa H, Beckman K, McClelland JH et al. Radiofrequency catheter ablation of idiopathic left ventricular tachycardia guided by a Purkinje potential. Circ 1993;88:2607-2617.
Nogami A, Naito S, Tada H et al. Verapamil-sensitive left anterior fascicular ventricular tachycardia: Results of radiofrequency ablation in six patients. J Cardiovasc Electrophysiol 1998;9:1269-1278.
Lin FC, Wen MS, Wang CC et al. Left ventricular fibromuscular band is not a specific substrate for idiopathic left ventricular tachycardia. Circ 1996;93: 525-528.
Lerman BB, Stein KM, Markowitz SM. Mechanisms of idiopathic left ventricular tachycardia. J Cardiovasc Electrophysiol 1997;8:571-583
Shimoike E, Ohba Y, Yanagi N et al. Radiofrequency catheter ablation of left ventricular outflow tract tachycardia: Report of two cases. J Cardiovasc Electrophysiol 1998;9: 196-202.
Calkins H, Langberg J, Sousa J, El-Atassi R, Leon A, Kou W, Kalbfleisch S, Morady F. Radiofrequency catheter ablation of accessory atrioventricular connections in 250 patients: Abbreviated therapeutic approach to Wolff-Parkinson-White Syndrome. Circulation 1992;85:1337-1349.
Kosinski DJ, Grubb BP, Burket MW, Durinsky D. Occlusion of the left main coronary artery during radiofrequency ablation for the Wolff-Parkinson-White syndrome. Eur JCPE 1993;3:63-66.
Yeh SJ, Wen MS, Wang CC et al. Adenosine-sensitive ventricular tachycardia from the anterobasal left ventricle. J Am Coll Cardiol 1997;30:1339-1345.
Friedman P, Stevenson WG, Bittl JA et al. Left main coronary artery occlusion during radiofrequency catheter ablation of idiopathic outflow tract ventricular tachycardia. PACE 1997;20:1184.
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Hu, D., Guo, C., Yang, J. et al. Left Ventricular Tachycardia Originating Near the Left Main Coronary Artery. J Interv Card Electrophysiol 4, 423–426 (2000). https://doi.org/10.1023/A:1009802416785
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DOI: https://doi.org/10.1023/A:1009802416785