Electrophysiology Laboratories of Aurora St. Luke's and Aurora Sinai Medical Centers, University of Wisconsin School of Medicine and Public Health-Milwaukee Clinical Campus, Milwaukee, Wisconsin, USA.
J Cardiovasc Electrophysiol. 2009 Nov;20(11):1279-83. doi: 10.1111/j.1540-8167.2009.01459.x. Epub 2009 Mar 19.
A 72-year-old woman developed incessant interfascicular (IF) ventricular tachycardia immediately after successful right bundle branch (RBB) catheter ablation for the treatment of sustained bundle branch reentrant tachycardia. Catheter ablation of the left bundle branch and the left anterior fascicle was successful in eliminating the tachycardia (in 2 different sessions). This report discusses the direct link between the creation of an RBB block and the development of IF tachycardia, in our case, and in prior cases of IF reentry reported in the literature.
一位 72 岁女性在成功接受右侧束支(RBB)导管消融术治疗持续性束支折返性心动过速后,立即出现无休止的间束(IF)室性心动过速。经导管消融左束支和左前束成功消除了心动过速(在 2 次不同的治疗中)。本报告讨论了 RBB 阻滞的形成与 IF 心动过速发展之间的直接联系,在我们的病例中以及在文献中报告的其他 IF 折返病例中都存在这种联系。