John Green, MD, Zaid Aziz, MD, Hemal M. Nayak, MD, Gaurav A

Slides:

Advertisements

Similar presentations

Volume 4, Issue 1, Pages (January 2007)

Advertisements

Volume 12, Issue 5, Pages (May 2015)

How to map and ablate left ventricular summit arrhythmias

Pulmonary sinus cusp mapping and ablation: A new concept and approach for idiopathic right ventricular outflow tract arrhythmias Jinlin Zhang, MD, Cheng.

Wolff-Parkinson-White syndrome due to a left atrial appendage–to–left ventricular connection: A case of a successful pathway elimination from inside of.

Role of intracardiac echocardiography for guiding ablation of tricuspid valve arrhythmias Andres Enriquez, MD, Carlos Tapias, MD, Diego Rodriguez, MD,

HeartRhythm Case Reports

Dennis M. Mello, MD, John Fahey, MD, Gary S. Kopf, MD

Catheter ablation as a treatment of atrioventricular block

The influence of His bundle pacing on tricuspid valve functioning using three- dimensional echocardiography Eriko Hasumi, MD, PhD, Katsuhito Fujiu, MD,

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

Ablation of ventricular tachycardia from the aortic root after transcatheter aortic valve replacement Uma N. Srivatsa, MBBS, MAS, FHRS, Eric J. Nordsieck,

Volume 13, Issue 10, Pages (October 2016)

HeartRhythm Case Reports

Atypical inferoseptal accessory pathway connection associated with an aneurysm of the coronary sinus: Insight from a three-dimensional combined image.

Three-dimensional electroanatomical mapping to guide transseptal catheterization Mark R. Bowers, MS, MD, Padraig Gearoid O'Neill, MD, FHRS, Rohit Bhaskar,

Benjamin A. Steinberg, MD, MHS, Jonathan P. Piccini, MD, MHS, FHRS

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,

Peri–coronary sinus atrial flutter associated with prior slow pathway ablation Mitsunori Maruyama, MD, PhD, FHRS, Shunsuke Uetake, MD, PhD, Yasushi Miyauchi,

A case of scar-related ventricular tachycardia demonstrating termination with nonglobal capture at the site of concealed entrainment with dual slow conduction.

Two mechanisms of termination of idiopathic reentrant ventricular tachycardia originating from the left coronary cusp/right coronary cusp commissure with.

Permanent His bundle pacing at the time of atrioventricular node ablation: A 3- dimensional mapping approach Sukit Ringwala, MD, MPH, Bradley P. Knight,

Respiratory rate trending as a cause for atrial lead noise: A first report in an implantable cardioverter-defibrillator patient Isla McClelland, MD,

Maged F. Nageh, MD,FHRS, Kamal Kotak, MD HeartRhythm Case Reports

Resolution of the functional retrograde right bundle branch block during antidromic atrioventricular reciprocating tachycardia Keiko Takahashi, MD, PhD,

Cardiac inflammation and ventricular tachycardia in Chagas disease

Claudio Hadid, MD, Sergio Gonzalez, MD, Jesús Almendral, MD, PhD

Isolated Wolff-Parkinson-White syndrome in identical twins

Dual-loop biatrial concomitant macroreentrant tachycardia in a patient without previous history of surgery or ablation Song-Yun Chu, MD, Li-Bin Shi,

Perimitral atrial flutter associated with a protected coronary sinus after a Maze IV procedure and concomitant mitral annulus repair Gaku Kanda, MD,

Atrial fibrillation originating from recipient left atrium after an orthotopic heart transplantation Auroa Badin, MD, Jaret Tyler, MD, FHRS, Steven J.

Pseudo typical atrial flutter occurring after cavotricuspid isthmus ablation in a patient with a prior history of Senning operation Naoki Yoshida, MD,

Isolation of the conduction between the Marshall bundle and distal coronary sinus and the entire coronary sinus for an atrial tachycardia after catheter.

Bradley D. Brochu, MD, Ahmed Abdi-Ali, MD, Jeffrey Shaw, MD, F

Successful catheter ablation using real-time ultrasound-assisted 3-D electroanatomical mapping system for atrioventricular accessory pathway in a 1-year-old.

Wide complex tachycardia in an elderly woman due to Ebstein’s anomaly with two accessory pathways Vlad Radulescu, MD, Joseph Donnelly, MD, Jonathan Willner,

Adenosine-sensitive atrial tachycardia originating from the anterior mitral annulus Dai Inagaki, MD, Rintaro Hojo, MD, Seiji Fukamizu, MD, PhD, Harumizu.

Cavotricuspid isthmus ablation using multimodality imaging in Ebstein anomaly with a mechanical tricuspid valve replacement Sang Hyun Lee, MD, Hyung.

A case of successful termination of an atrial tachycardia ablated from the pulmonary artery during rapid ventricular pacing Toshiya Kurotobi, MD, PhD,

Pseudo-conduction block at the mitral isthmus in a patient with epicardial impulse propagation through the vein of Marshall Rintaro Hojo, MD, Seiji Fukamizu,

Protecting the right phrenic nerve during catheter ablation: Techniques and anatomical considerations Stephen Stark, MD, David K. Roberts, MD, Thomas.

Macroreentrant form of an adenosine 5′-triphosphate–sensitive atrial tachycardia arising from the vicinity of the atrioventricular node involving the.

Focal atrial fibrillation presenting in the origin of atrial tachycardia Chin-Yu Lin, MD, Yenn-Jiang Lin, MD, Fa-Po Chung, MD, Shih-Ann Chen, MD HeartRhythm.

Paroxysmal 1:1 narrow complex tachycardia: What is the mechanism?

Cryoablation of an atrioventricular nodal reentrant tachycardia in a patient with an implanted deep brain stimulator Melanie Gunawardene, MD, Christian.

An unusual approach to intractable AVNRT in a pediatric patient

Electroanatomical high-density mapping of different tachycardias in the right atrium after heart transplantation Alexandra Schratter, MD, Valentina Schirripa,

Atrial Tachycardia in a Patient With Fabry’s Disease

Volume 10, Issue 1, Pages (January 2013)

A simple method to ablate left-sided accessory pathways in a patient with coronary sinus ostial atresia and persistent left superior vena cava: A case.

Biatrial flutter circuit involving an anomalous insertion of the Bachmann bundle into the superior vena cava Ely Gracia, MD, Roger Fan, MD, FHRS HeartRhythm.

Radiofrequency ablation of common atrial flutter via right subclavian/jugular vein access in a patient with bilateral lower limb venous obstruction: Importance.

Hiroko Asakai, MD, Laura Fenwick, BSc, Robert M. Hamilton, MD, FRCP(C)

Successful catheter ablation of idiopathic ventricular tachycardia originating from the top of the left ventricular posterior papillary muscle near the.

Successful treatment of tachycardia-induced cardiomyopathy secondary to dual atrioventricular nodal nonreentrant tachycardia using cryoablation Harold.

A case of an incision-related single-loop intra-atrial reentrant tachycardia showing an eccentric atrial activation sequence and widely separate potentials.

Utility of entrainment pacing to clarify the circuit of macroreentrant tachycardia with dual early sites on activation maps Koichi Nagashima, MD, PhD,

Slow pathway modification for treatment of pseudo-pacemaker syndrome due to first- degree atrioventricular block with dual atrioventricular nodal physiology

Worsening of mitral valve regurgitation after radiofrequency catheter ablation of ventricular arrhythmia originating from a left ventricular papillary.

Colin Yeo, MBBS, Martin Green, MD, Robert Lemery, MD, FHRS

Peter Kabunga, MBChB, MRCP, George J. Klein, MD, FHRS, Raymond W

Nishaki Mehta, MD, Benjamin E. Peterson, MD, Roy M. John, MD, PhD

Clinical problem solving: Maneuvering around a narrow complex tachycardia in a patient with Mustard repair for transposition of the great arteries Nicholas.

Parsing a perplexing paroxysmal pathway

Left atrial access via an unroofed coronary sinus to eliminate fast/slow atypical AVNRT: A case report Gustavo X. Morales, MD, Yousef H. Darrat, MD,

Left ventricular pseudoaneurysm as a complication of left ventricular summit premature ventricular contraction ablation Sanjay Dandamudi, MD, Susan S.

Atrial flutter following ethanol infusion in the vein of Marshall

A wide QRS complex tachycardia utilizing an atypical accessory pathway in latent Wolff- Parkinson-White syndrome: Manifestation of anterograde conduction.

Presentation transcript:

“Left ventricular” AV nodal reentrant tachycardia: Case report and review of the literature John Green, MD, Zaid Aziz, MD, Hemal M. Nayak, MD, Gaurav A. Upadhyay, MD, Joshua D. Moss, MD, Roderick Tung, MD HeartRhythm Case Reports Volume 2, Issue 5, Pages 367-371 (September 2016) DOI: 10.1016/j.hrcr.2016.03.008 Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 1 (A) Intracardiac recordings of typical AV nodal reentrant tachycardia with response to overdrive pacing demonstrating ventriculoatrial time <70 ms and post-pacing interval tachycardia cycle length >110 ms. (B) Progression of radiofrequency applications from the left side starting with 1:1 AV ratio until the successful site (red) with ventricular electrogram. Consistent accelerated junctional rhythm was seen during ablation multiple times. HeartRhythm Case Reports 2016 2, 367-371DOI: (10.1016/j.hrcr.2016.03.008) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 2 Anatomic relationship of the inferiorly displaced tricuspid valve (TV) relative to the mitral annulus. The right atrial (RA) portion of the slow pathway target zone is shown with blue line and the corresponding left ventricular portion is shown with red line. Fluoroscopic views demonstrate the ablation site anterior to the His on right anterior oblique (RAO) and at the inferoseptal mitral annulus on left anterior oblique (LAO). Wallace A. McAlpine Library, Courtesy of UCLA Cardiac Arrhythmia Center. CS = coronary sinus; LA = left atrium; MV = mitral valve. HeartRhythm Case Reports 2016 2, 367-371DOI: (10.1016/j.hrcr.2016.03.008) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 3 Anatomic view from the tricuspid valve perspective showing the relationship between the triangle of Koch (dashed line) in the right atrium (RA) and the posterior superior process (PSP) of the left ventricle. AO = aorta; CS = coronary sinus; ER = Eustachian ridge; FO = fossa ovalis; LCC = left coronary cusp; NCC = noncoronary cusp; TT = tendon of Todaro. Wallace A. McAlpine Library, Courtesy of UCLA Cardiac Arrhythmia Center. HeartRhythm Case Reports 2016 2, 367-371DOI: (10.1016/j.hrcr.2016.03.008) Copyright © 2016 Heart Rhythm Society Terms and Conditions