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Review
. 2022 Jun;33(2):161-174.
doi: 10.1007/s00399-022-00859-7. Epub 2022 May 13.

[Anatomy of the left ventricle for endocardial ablation]

[Article in German]
Julian Wolfes  1 , Christian Ellermann  2 , Julia Köbe  2 , Philipp S Lange  2 , Patrick Leitz  2 , Benjamin Rath  2 , Kevin Willy  2 , Fatih Güner  2 , Gerrit Frommeyer  2 , Lars Eckardt  2
Affiliations
Review

[Anatomy of the left ventricle for endocardial ablation]

[Article in German]
Julian Wolfes et al. Herzschrittmacherther Elektrophysiol. 2022 Jun.

Abstract
in English, German

As with all cardiac interventions, performing left ventricular ablation requires profound knowledge of cardiac anatomy. The aim of this article is to provide an overview of left ventricular anatomy and to characterize complex and clinically relevant structures from an electrophysiologist-centered perspective. In addition to the different access routes, the trabecular network, the left ventricular outflow tract, and the left ventricular conduction system, complex anatomical structures such as the aortomitral continuity and the left ventricular summit are also explained. In addition, this article offers multiple clinical examples that combine ECG, anatomy, and electrophysiologic study.

Die Durchführung einer linksventrikulären Ablation setzt, wie bei grundsätzlich allen kardialen Interventionen, eine gute Kenntnis der kardialen Anatomie voraus. Ziel dieses Artikels ist es, eine Übersicht über die Anatomie des linken Ventrikels zu geben und komplexe klinisch relevante Strukturen aus einer untersucherzentrierten Perspektive zu charakterisieren. Neben den unterschiedlichen Zugangswegen, dem Trabekelwerk, dem linksventrikulären Ausflusstrakt und dem spezifischen Reizleitungssystem, sollen im Folgenden auch komplexe anatomische Strukturen wie die aortomitrale Kontinuität und der linksventrikuläre Summit erläutert und kartiert werden. Darüber hinaus bietet dieser Artikel mehrere klinische Fälle, die eine Verbindung zwischen EKG, Anatomie und Ablation ermöglichen sollen.

Keywords: Aortomitral continuity; Conduction system; Landmarks; Left ventricular summit; Ventricular tachycardia.

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References

Literatur

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