Presentation is loading. Please wait.

Presentation is loading. Please wait.

Radiofrequency ablation of ventricular tachycardia originating from a lipomatous hamartoma localized in the right ventricle cavity  Jin Xu, PhD, Yingmin.

Published byHilkka Heino Modified over 5 years ago

Similar presentations

Presentation on theme: "Radiofrequency ablation of ventricular tachycardia originating from a lipomatous hamartoma localized in the right ventricle cavity  Jin Xu, PhD, Yingmin."— Presentation transcript:

1 Radiofrequency ablation of ventricular tachycardia originating from a lipomatous hamartoma localized in the right ventricle cavity  Jin Xu, PhD, Yingmin Chen, PhD, Xiaoying Ying, PhD, Ben He, PhD  HeartRhythm Case Reports  Volume 3, Issue 8, Pages (August 2017) DOI: /j.hrcr Copyright © 2017 Heart Rhythm Society Terms and Conditions

2 Figure 1 Images of right ventricular hamartomas. A: Coronal image of cardiac spiral 2-dimensional computed tomography. B: Axial image of cardiac spiral 2-dimensional computed tomography. C: Three-dimensional CARTO composite image. The right ventricular hamartoma in the upper side of the ventricular septum (4.7 cm × 4.7 cm × 7 cm) extended upward to the level of the pulmonary trunk and partially grew into the right ventricle cavity. The left ventricular cavity, parts of the aorta and outflow tract, and valve region of the pulmonary artery were slightly compressed. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

3 Figure 2 Twelve-lead electrocardiogram of (A) premature ventricular contraction (PVC)-1 and PVC-2; (B) induced ventricular tachycardia (VT)-1 transforming to VT-2; and (C) recorded clinical VT. PVC-1, PVC-2, and clinical VT occurred spontaneously; VT-1 and VT-2 could be induced and transformed between each other. The morphology of PVC-1 and VT-1 is similar, with a left bundle branch block, inferior axis morphology consistent with a site of origin (SOO) in the right ventricular outflow tract. The morphology of PVC-2 and VT-2 is consistent with SOO from the left ventricular outflow tract or left ventricular free wall and the >160 ms width of QRS suggests an epicardial circuit. VT-2 is similar in morphology to the clinical VT. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

4 Figure 3 A: Pace and activation mapping of premature ventricular contraction (PVC)-1. B: CARTO image of PVC-1 and ventricular tachycardia (VT)-1 (with activation map in right panel); PVC-1 (brown tags) and VT-1 (pink tags) shared adjacent site of origin (SOO) in the anteroseptal right ventricular outflow tract. PVC-1 had -37 ms local activation time (LAT) at SOO with 11/12 electrocardiogram pace-map match. VT-1 had -52 ms LAT with QS unipolar morphology at SOO. A linear ablation line of 1 cm was created between the SOO for PVC-1 and VT-1. C: Pace and activation mapping of VT-2. D: CARTO and fluoroscopic images of PVC-2 and VT-2. LAT was only -20 to 30 ms over a diffuse area in the left ventricular anterior free wall, but pace mapping revealed a reasonable enough similarity to VT-2 (C) that a 2-cm T-shaped linear ablation line (arrow) was created at what was suspected of being an area of endocardial breakthrough for VT-2. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

5 Figure S1 Twelve-lead electrocardiographic analysis of ventricular tachycardia (VT-2). The continuous and tiny changes of morphologies in leads V1–V6 indicated the slight changes of endocardial conduction exits. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

6 Figure S2 Ablation termination of ventricular tachycardia (VT-2).
HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Download ppt "Radiofrequency ablation of ventricular tachycardia originating from a lipomatous hamartoma localized in the right ventricle cavity  Jin Xu, PhD, Yingmin."

Similar presentations

Abnormal epicardial electrophysiologic substrate in patients with early repolarization pattern and reduced left ventricular systolic function: A report.

Abnormal epicardial electrophysiologic substrate in patients with early repolarization pattern and reduced left ventricular systolic function: A report.
Radiofrequency ablation of premature ventricular contractions originating from the aortomitral continuity localized by use of a novel noninvasive epicardial.

Radiofrequency ablation of premature ventricular contractions originating from the aortomitral continuity localized by use of a novel noninvasive epicardial.
Pulmonary sinus cusp mapping and ablation: A new concept and approach for idiopathic right ventricular outflow tract arrhythmias  Jinlin Zhang, MD, Cheng.

Pulmonary sinus cusp mapping and ablation: A new concept and approach for idiopathic right ventricular outflow tract arrhythmias  Jinlin Zhang, MD, Cheng.
Lyme disease and cardiac sarcoidosis: Management of associated ventricular arrhythmias  Jorge Romero, MD, FHRS, Ulrich Jorde, MD, Juan Carlos Diaz, MD,

Lyme disease and cardiac sarcoidosis: Management of associated ventricular arrhythmias  Jorge Romero, MD, FHRS, Ulrich Jorde, MD, Juan Carlos Diaz, MD,
Intramyocardial radiofrequency ablation of ventricular arrhythmias using intracoronary wire mapping and a coronary reentry system: Description of a novel.

Intramyocardial radiofrequency ablation of ventricular arrhythmias using intracoronary wire mapping and a coronary reentry system: Description of a novel.
Successful ablation of ventricular tachycardia arising from a midmyocardial septal outflow tract site utilizing a simplified bipolar ablation setup  Peter.

Successful ablation of ventricular tachycardia arising from a midmyocardial septal outflow tract site utilizing a simplified bipolar ablation setup  Peter.
Incessant bundle branch reentrant ventricular tachycardia in a patient with corrected transposition of the great arteries  Ken Kato, MD, Daigo Yagishita,

Incessant bundle branch reentrant ventricular tachycardia in a patient with corrected transposition of the great arteries  Ken Kato, MD, Daigo Yagishita,
Successful ablation of premature ventricular contractions originating from the inferoseptal process of the left ventricle using a coronary sinus approach 

Successful ablation of premature ventricular contractions originating from the inferoseptal process of the left ventricle using a coronary sinus approach 
Ablation of ventricular tachycardia from the aortic root after transcatheter aortic valve replacement  Uma N. Srivatsa, MBBS, MAS, FHRS, Eric J. Nordsieck,

Ablation of ventricular tachycardia from the aortic root after transcatheter aortic valve replacement  Uma N. Srivatsa, MBBS, MAS, FHRS, Eric J. Nordsieck,
Stereotactic radiosurgery as a treatment for recurrent ventricular tachycardia associated with cardiac fibroma  Jana Haskova, MD, Petr Peichl, MD, PhD,

Stereotactic radiosurgery as a treatment for recurrent ventricular tachycardia associated with cardiac fibroma  Jana Haskova, MD, Petr Peichl, MD, PhD,
Atypical inferoseptal accessory pathway connection associated with an aneurysm of the coronary sinus: Insight from a three-dimensional combined image.

Atypical inferoseptal accessory pathway connection associated with an aneurysm of the coronary sinus: Insight from a three-dimensional combined image.
Jeremy W. Docekal, MD, Gregory Francisco, MD, Joseph C. Lee, MD, FHRS 

Jeremy W. Docekal, MD, Gregory Francisco, MD, Joseph C. Lee, MD, FHRS 
A unique case of pulmonary embolism presenting as a paroxysmal atrial tachycardia instigated only by recumbency and stooping  Nagesh Chopra, MD  HeartRhythm.

A unique case of pulmonary embolism presenting as a paroxysmal atrial tachycardia instigated only by recumbency and stooping  Nagesh Chopra, MD  HeartRhythm.
A subtype of idiopathic ventricular fibrillation and its relevance to catheter ablation and genetic variants  Takahiko Nishiyama, MD, Yoshiyasu Aizawa,

A subtype of idiopathic ventricular fibrillation and its relevance to catheter ablation and genetic variants  Takahiko Nishiyama, MD, Yoshiyasu Aizawa,
Volume 15, Issue 1, Pages (January 2018)

Volume 15, Issue 1, Pages (January 2018)
Premature ventricular contractions with two QRS morphologies originate from one focus in great cardiac vein  Juan Ma, MD, Ke-Xiang Wu, MD, Yu-Bin Wang,

Premature ventricular contractions with two QRS morphologies originate from one focus in great cardiac vein  Juan Ma, MD, Ke-Xiang Wu, MD, Yu-Bin Wang,
First case of epicardial ablation to coexistent J waves in the inferior leads in a patient with clinical diagnosis of Brugada syndrome  Shingo Maeda,

First case of epicardial ablation to coexistent J waves in the inferior leads in a patient with clinical diagnosis of Brugada syndrome  Shingo Maeda,
Successful catheter ablation of recipient left ventricular tachycardia 26 years after heterotopic heart transplantation  Mikael Laredo, MD, Shaida Varnous,

Successful catheter ablation of recipient left ventricular tachycardia 26 years after heterotopic heart transplantation  Mikael Laredo, MD, Shaida Varnous,
A case of scar-related ventricular tachycardia demonstrating termination with nonglobal capture at the site of concealed entrainment with dual slow conduction.

A case of scar-related ventricular tachycardia demonstrating termination with nonglobal capture at the site of concealed entrainment with dual slow conduction.
Successful elimination of recurrent ventricular tachycardia by epicardial ablation over coronary artery supplying postinfarction aneurysm  Kenichiro Yamagata,

Successful elimination of recurrent ventricular tachycardia by epicardial ablation over coronary artery supplying postinfarction aneurysm  Kenichiro Yamagata,

Similar presentations

Ads by Google