Intracardiac echocardiography-guided catheter ablation of highly symptomatic accelerated idioventricular rhythm originating from the right ventricular apical diverticulum.

Autor: Yang S; Department of Cardiology, Yan'an Hospital, Kunming Medical University, Kunming, China., Li S; Department of Cardiology, Yan'an Hospital, Kunming Medical University, Kunming, China., Li S; Department of Cardiology, Yan'an Hospital, Kunming Medical University, Kunming, China., Liao Q; Department of Cardiology, Yan'an Hospital, Kunming Medical University, Kunming, China., Long D; Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China., Li M; Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China., He C; Department of Cardiology, Yan'an Hospital, Kunming Medical University, Kunming, China.
Jazyk: angličtina
Zdroj: Pacing and clinical electrophysiology : PACE [Pacing Clin Electrophysiol] 2024 Oct; Vol. 47 (10), pp. 1366-1369. Date of Electronic Publication: 2024 Mar 19.
DOI: 10.1111/pace.14966
Abstrakt: Ventricular diverticula are saccule-like structures formed by the protrusion of the ventricular myocardium from the endocardial surface towards the free wall. Most diverticula are muscular structures, and patients usually have no obvious clinical symptoms. However, diverticula may contribute to arrhythmogenesis due to localized myocardial structural disturbances. Right ventricular apical diverticulum (RVAD) is very rare, and we report a case of highly symptomatic accelerated idioventricular rhythm (AIVR) originating from the RVAD that underwent intracardiac echocardiography (ICE)-guided catheter ablation with no recurrence during follow-up.
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Databáze: MEDLINE