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Case Reports
. 2020 Oct 17;7(1):26-29.
doi: 10.1016/j.hrcr.2020.10.006. eCollection 2021 Jan.

Ventricular tachycardia in a patient with repaired d-transposition of the great arteries

Affiliations
Case Reports

Ventricular tachycardia in a patient with repaired d-transposition of the great arteries

Philipp Krisai et al. HeartRhythm Case Rep. .
No abstract available

Keywords: Ablation; Adult congenital heart disease; Cardiac imaging; Transposition of the great arteries; Ventricular tachycardia.

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Figures

Figure 1
Figure 1
Three-dimensional reconstructed cardiac magnetic resonance imaging showing an area of scar (yellow) in the area of the sinus of Valsalva and an anomalous left circumflex artery arising from the right coronary artery (green star).
Figure 2
Figure 2
Catheter positions shown in the 3D mapping system (left) and in fluoroscopic anterior-posterior views (middle) inside the left coronary cusp (A) and below the left coronary cusp (B), with 1 surface electrocardiogram and intracardiac electrograms from the ablation catheter (right). Fractionated potentials were noted inside the left coronary cusp (A, right), but not below the cusp. Arrows indicate the amplitude (0.5 mV) and sweep speed (100 ms) of the intracardiac tracings.
Figure 3
Figure 3
A: Pacemap from the left coronary cusp (left), pacemap from the great cardiac vein (middle), and induction of ventricular tachycardia with isoproterenol (right). B: Bipolar and unipolar electrograms in the left coronary cusp during ventricular tachycardia at the successful ablation site. C: Termination of the tachycardia after 15 seconds of radiofrequency ablation. GCV = great cardiac vein; LCC = left coronary cusp.

References

    1. Khairy P., Clair M., Fernandes S.M. Cardiovascular outcomes after the arterial switch operation for d-transposition of the great arteries. Circulation. 2013;127:331–339. - PubMed
    1. Enriquez A., Baranchuk A., Briceno D., Saenz L., Garcia F. How to use the 12-lead ECG to predict the site of origin of idiopathic ventricular arrhythmias. Heart Rhythm. 2019;16:1538–1544. - PubMed
    1. Cochet H., Komatsu Y., Sacher F. Integration of merged delayed-enhanced magnetic resonance imaging and multidetector computed tomography for the guidance of ventricular tachycardia ablation: a pilot study. J Cardiovasc Electrophysiol. 2013;24:419–426. - PubMed
    1. Maury P., Hascoët S., Mondoly P., Acar P. French Reflection Group for Congenital/Pediatric Electrophysiology. Monomorphic sustained ventricular tachycardia late after arterial switch for d-transposition of the great arteries: ablation in the sinus of valsalva. Can J Cardiol. 2013;29 1741.e13–15. - PubMed
    1. Bhaskaran A., Campbell T., Trivic I., Tanous D.J., Kumar S. Left ventricular outflow tract ventricular tachycardia late post-arterial switch for d-transposition of the great arteries. JACC Clin Electrophysiol. 2019;5:1096–1097. - PubMed

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