Cardiologia Croatica, Vol. 9 No. 1-2, 2014.
Review article
https://doi.org/10.15836/ccar.2014.34
Ablation of ventricular arrhythmias above semilunar valves.
Ante Anić
; Zadar General Hospital, Zadar, Croatia
Zoran Bakotić
; Zadar General Hospital, Zadar, Croatia
Marin Bištirlić
; Zadar General Hospital, Zadar, Croatia
Albino Jović
; Zadar General Hospital, Zadar, Croatia
Abstract
Arrhythmias from the right and left ventricular outflow tract may stem from supravalvular myocardial extensions. Medical therapy has traditionally been unsuccessful, so in symptomatic cases or those in which arrhythmia-induced cardiomyopathy develop we should opt for an intervention. Mapping and use of radiofrequency energy has to be performed above semilunar valves for their successful elimination by ablation, in the regions that have specific anatomical features. This review article provides a brief overview of the anatomical substrate of these arrhythmias and intraprocedural steps that lead to successful and safe ablation, as well as an overview of our own experience.
Keywords
ablation of ventricular arrhythmias; idiopathic ventricular tachycardias; ventricular tachycardia from coronary cusps; preferential conduction; great arterial potential
Hrčak ID:
141150
URI
Publication date:
17.2.2014.
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