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室性心动过速作为心房扑动消融术的一种并发症。

Ventricular tachycardia as a complication of atrial flutter ablation.

作者信息

Ramanna H, Derksen R, Elvan A, Simmers T A, Wittkampf F H, Hauer R N, Robles de Medina E

机构信息

Heart-Lung Institute, University Medical Center Utrecht, The Netherlands.

出版信息

J Cardiovasc Electrophysiol. 2000 Apr;11(4):472-4. doi: 10.1111/j.1540-8167.2000.tb00344.x.

Abstract

A 61-year-old woman with dilated cardiomyopathy, who previously underwent successful radiofrequency catheter ablation for atrial flutter, developed monomorphic ventricular tachycardia (VT). The site of VT origin was the inferobasal right ventricle adjacent to the previous atrial isthmus ablation area. The most likely mechanism for the VT was scar-related reentry, the scar being the result of previous radiofrequency lesions in the atrial isthmus. The VT was successfully ablated.

摘要

一名61岁患有扩张型心肌病的女性,此前曾成功接受心房扑动的射频导管消融术,现发生单形性室性心动过速(VT)。VT起源部位为与先前心房峡部消融区域相邻的右心室下基底部。VT最可能的机制是瘢痕相关折返,该瘢痕是先前心房峡部射频损伤的结果。VT被成功消融。

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