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左心室后上嵴起源的室性早搏的右心房消融：一种新的治疗方法。

Right Atrial Ablation for Premature Ventricular Contractions Originating From the Posterior-Superior Process of the Left Ventricle: A Novel Therapeutic Approach.

作者信息

Kato Yuki, Sagawa Yuichiro, Murata Kazuya, Sasano Tetsuo, Yamauchi Yasuteru

机构信息

Department of Cardiology Japan Red Cross Yokohama City Bay Hospital Kanagawa Japan.

Department of Cardiovascular Medicine, Institute of Science Tokyo Japan.

出版信息

J Arrhythm. 2025 Sep 9;41(5):e70186. doi: 10.1002/joa3.70186. eCollection 2025 Oct.

DOI:10.1002/joa3.70186
PMID:40932832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12418162/
Abstract

We experienced a case of premature ventricular contractions originating from the posterior-superior process of the left ventricle that was successfully ablated from the right atrium where the A/V ratio was 5:1.

摘要

我们遇到一例起源于左心室后上突的室性早搏，在房室比例为5:1的右心房成功消融。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1afa/12418162/2738cb16bfb9/JOA3-41-e70186-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1afa/12418162/a45490dcb694/JOA3-41-e70186-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1afa/12418162/40822e526d35/JOA3-41-e70186-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1afa/12418162/d2619058dc74/JOA3-41-e70186-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1afa/12418162/2738cb16bfb9/JOA3-41-e70186-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1afa/12418162/a45490dcb694/JOA3-41-e70186-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1afa/12418162/40822e526d35/JOA3-41-e70186-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1afa/12418162/d2619058dc74/JOA3-41-e70186-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1afa/12418162/2738cb16bfb9/JOA3-41-e70186-g005.jpg

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本文引用的文献

1
Endocardial, epicardial, and right atrial approach for catheter ablation of premature ventricular contractions from the inferoseptal process of the left ventricle.经心内膜、心外膜及右心房途径对源自左心室下间隔区域的室性早搏进行导管消融
J Arrhythm. 2023 May 15;39(4):613-620. doi: 10.1002/joa3.12870. eCollection 2023 Aug.
2
Right atrial position of a return electrode for bipolar ablation of the left posterosuperior process ventricular tachycardia.用于左后上间隔室性心动过速双极消融的返回电极的右心房位置。
Pacing Clin Electrophysiol. 2019 Apr;42(4):474-477. doi: 10.1111/pace.13554. Epub 2018 Dec 9.
3
Endocardial ablation of ventricular ectopic beats arising from the basal inferoseptal process of the left ventricle.
心内膜消融治疗起源于左心室基底下间隔过程的室性异位搏动。
Heart Rhythm. 2018 Sep;15(9):1356-1362. doi: 10.1016/j.hrthm.2018.04.029. Epub 2018 Apr 28.
4
Successful catheter ablation of ventricular premature complexes from the right atrial side of the atrioventricular septum with good contact force.经房室间隔右房侧成功进行室性早搏的导管消融，接触力良好。
J Arrhythm. 2018 Mar 12;34(2):201-203. doi: 10.1002/joa3.12038. eCollection 2018 Apr.
5
Right Atrial Approach for Ablation of Ventricular Arrhythmias Arising From the Left Posterior-Superior Process of the Left Ventricle.经右心房途径消融起源于左心室左后上嵴的室性心律失常
Circ Arrhythm Electrophysiol. 2016 Jul;9(7). doi: 10.1161/CIRCEP.116.004048.