Maluski Alexandre, Latcu Decebal G, Ricard Phillipe, Saoudi Nadir
Cardiology department, Centre Hospitalier Princesse Grace, Monaco.
Pacing Clin Electrophysiol. 2010 Jul;33(7):904-6. doi: 10.1111/j.1540-8159.2009.02679.x. Epub 2010 Jan 27.
In the chronic phase of myocardial infarction, the presence of scar areas allows the development of macro-reentries which become the most frequent mechanism underlying ventricular tachycardia (VT). A focal mechanism has been already described in the presence of scar in animal models or in humans but only during surgery. We report a case of focal automatic VT arising from postinfarction scar fibrosis, successfully mapped and ablated during an electro-physiological procedure.
