Catheter ablation of premature ventricular complexes associated with false tendons: A case report
| Autor: | Xiaofeng Li, Ya-Bing Yang, Ting-Ting Guo, Jun Liu, Pihua Fang, Yuhe Jia, Min Tang, Shu Zhang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Intracardiac echocardiography medicine.medical_treatment Catheter ablation False tendons Premature ventricular complexes 03 medical and health sciences 0302 clinical medicine Internal medicine Case report medicine cardiovascular diseases Radiofrequency catheter ablation business.industry CartoSoundTM nutritional and metabolic diseases General Medicine musculoskeletal system nervous system diseases 030220 oncology & carcinogenesis cardiovascular system Cardiology 030211 gastroenterology & hepatology business |
| Zdroj: | World Journal of Clinical Cases |
| ISSN: | 2307-8960 |
| DOI: | 10.12998/wjcc.v8.i2.325 |
| Popis: | BACKGROUND False tendon is a common intraventricular anatomical variation. It refers to a fibroid or fibromuscular structure that exists in the ventricle besides the normal connection of papillary muscle and mitral or tricuspid valve. A large number of clinical studies have suggested that there is a significant correlation between false tendons and premature ventricular complexes. However, few studies have verified this correlation during radiofrequency catheter ablation of premature ventricular complexes. CASE SUMMARY A 45-year-old male was admitted to receive radiofrequency ablation for symptomatic premature ventricular complexes. A three-dimensional model of the left ventricle was established by intracardiac echocardiography using the CartoSoundTM mapping system. In addition to the left anterior papillary muscle, the posterior papillary muscle was mapped. False tendons were found at the base of the interventricular septum, and the other end was connected to the left ventricular free wall near the apex. An irrigated touch force catheter was advanced into the left ventricle via the retrograde approach. The earliest activation site was marked at the interventricular septum attachment of the false tendons and was successfully ablated. CONCLUSION This case verified that false tendons can cause premature ventricular complexes and may be cured by radiofrequency ablation guided by intracardiac echocardiography with the CartoSoundTM system. |
| Databáze: | OpenAIRE |
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