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Ablation of ventricular arrhythmia originating from the aortic sinus of Valsalva in an adolescent with anomalous origin of the right coronary artery

Published online by Cambridge University Press:  04 March 2016

Elena K. Grant  and
Charles I. Berul
Elena K. Grant*
Affiliation:
Division of Cardiology, Children’s National Health System, Washington, District of Columbia, United States of America Department of Pediatrics, George Washington University School of Medicine, Washington, District of Columbia, United States of America
Charles I. Berul
Affiliation:
Division of Cardiology, Children’s National Health System, Washington, District of Columbia, United States of America Department of Pediatrics, George Washington University School of Medicine, Washington, District of Columbia, United States of America
*
Correspondence to: E. K. Grant, MBChB, Division of Cardiology, Children’s National Health System, 111 Michigan Avenue NW, Washington, DC 20010, United States of America. Tel: +202 476 2020; Fax: +202 476 5700; E-mail: [email protected]
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Abstract

A 16-year-old patient underwent successful ablation of ventricular arrhythmia originating from the aortic sinus of Valsalva following surgical unroofing of an anomalous right coronary artery. This case illustrates the complexity of decision making in the management of patients with anomalous coronary arteries and the importance of keeping an open mind when determining ventricular arrhythmia aetiology and origin.

Keywords

Ventricular arrhythmiaablationanomalous coronarycongenitalpaediatric
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 5 , June 2016 , pp. 987 - 990
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Copyright
© Cambridge University Press 2016 

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References

1. Morwood, JG, Triedman, JK, Berul, CI, et al. Catheter ablation for ventricular tachycardia in young patients. Heart Rhythm 2004; 1: 301–308.CrossRefGoogle Scholar
2. Bala, R, Garcia, FC, Hutchinson, MD, et al. Electrocardiographic and electrophysiologic features of ventricular arrhythmias originating from the right/left coronary cusp commissure. Heart Rhythm 2010; 7: 312–322.Google Scholar
3. Tada, H. Idiopathic ventricular arrhythmia arising from the mitral annulus: a distinct subgroup of idiopathic ventricular arrhythmias. J Am Coll Cardiol 2005; 45: 877–886.CrossRefGoogle ScholarPubMed
4. Yamada, T, McElderry, HT, Doppalapudi, H, et al. Idiopathic ventricular arrhythmias originating from the aortic root prevalence, electrocardiographic and electrophysiologic characteristics, and results of radiofrequency catheter ablation. J Am Coll Cardiol 2008; 52: 139–147.Google Scholar
5. Gonzalez y Gonzalez, MB, Will, JC, Tuzcu, V, et al. Idiopathic monomorphic ventricular tachycardia originating from the left aortic sinus cusp in children: endocardial mapping and radiofrequency catheter ablation. J Kardiol 2003; 92: 155–163.Google Scholar
6. Hlivák, P. Catheter ablation of idiopathic ventricular tachycardia originating from myocardial extensions into a noncoronary aortic cusp. J Cardiovasc Electrophysiol 2012; 23: 98–101.Google Scholar
7. Stevenson, WG, Soejima, K. Catheter ablation for ventricular tachycardia. Circulation 2007; 115: 2750–2760.Google Scholar
8. Ge, B. Electrocardiogram features of premature ventricular contractions/ventricular tachycardia originating from the left ventricular outflow tract and the treatment outcome of radiofrequency catheter ablation. BMC Cardiovasc Disord 2012; 12: 112.Google Scholar
9. Strobel, JS. Electrocardiographic characteristics of ventricular arrhythmias arising from the aortic sinuses of Valsalva: a case report and review of the literature. J Interv Card Electrophysiol 2002; 7: 203–207.CrossRefGoogle ScholarPubMed
10. Gami, AS. Anatomical correlates relevant to ablation above the semilunar valves for the cardiac electrophysiologist: a study of 603 hearts. J Interv Card Electrophysiol 2011; 30: 5–15.Google Scholar