Shen E N, Fukuyama O, Herre J M, Yee E, Scheinman M M
Department of Medicine, University of Hawaii, Straub Clinic, Honolulu.
Chest. 1991 Jul;100(1):283-5. doi: 10.1378/chest.100.1.283.
A 24-year-old man presented with symptomatic, recurrent, sustained ventricular tachycardia (VT). He was found to have a basal inferior left ventricular diverticulum. His sustained VT was reproduced by programmed electrical stimulation and was unresponsive to procainamide, tocainide, propafenone, and flecainide. Endocardial mapping followed by resection and cryoablative surgery was performed. The patient had only one recurrence after 18 months, with subsequent control with procainamide for over 14 months.
一名24岁男性因有症状的、复发性、持续性室性心动过速（VT）前来就诊。他被发现有左心室基底下部憩室。通过程控电刺激再现了他的持续性室性心动过速，且该室性心动过速对普鲁卡因胺、妥卡尼、普罗帕酮和氟卡尼均无反应。进行了心内膜标测，随后进行了切除术和冷冻消融手术。该患者在18个月后仅复发1次，随后使用普鲁卡因胺控制了14个月以上。
