<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Fascicular left ventricular tachycardia (VT) is the second most frequent idiopathic left VT in the setting of a structurally normal heart. Catheter ablation is curative in most patients with low complication rates. We report a case of ostial left anterior descending coronary artery (LAD) occlusion during fascicular ventricular tachycardia ablation.</p><p>Dissection was the most likely cause of LAD obstruction. To the authors’ best knowledge, this is the first case reporting selective LAD dissection during electrophysiology study with no left main coronary artery (LMCA) affection.</p></abstract>

Fascicular left ventricular tachycardia (VT) is the second most frequent idiopathic left VT in the setting of a structurally normal heart. Catheter ablation is curative in most patients with low complication rates. We report a case of ostial left anterior descending coronary artery (LAD) occlusion during fascicular ventricular tachycardia ablation.Dissection was the most likely cause of LAD obstruction. To the authors’ best knowledge, this is the first case reporting selective LAD dissection during electrophysiology study with no left main coronary artery (LMCA) affection.

Left anterior descending coronary artery dissection during ventricular tachycardia ablation – case report

University Hospital Center Sisters of Charity, Department of Cardiology

Romanian Journal of Internal Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Fascicular left ventricular tachycardia (VT) is the second most frequent idiopathic left VT in the setting of a structurally normal heart. Catheter ablation is...

Left anterior descending coronary artery dissection during ventricular tachycardia ablation – case report

Published Online: Mar 07, 2018

Page range: 63 - 66

Received: Jun 13, 2017

DOI: https://doi.org/10.1515/rjim-2017-0030

Keywords
ventricular tachycardia, electrophysiology, radiofrequency catheter ablation, ST elevation myocardial infarction, percutaneous coronary intervention

© 2017 Kresimir Kordic et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Left anterior descending coronary artery dissection during ventricular tachycardia ablation – case report

Published Online: Mar 07, 2018

Page range: 63 - 66

Received: Jun 13, 2017

DOI: https://doi.org/10.1515/rjim-2017-0030

Keywordsventricular tachycardia, electrophysiology, radiofrequency catheter ablation, ST elevation myocardial infarction, percutaneous coronary intervention

© 2017 Kresimir Kordic et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
ventricular tachycardia, electrophysiology, radiofrequency catheter ablation, ST elevation myocardial infarction, percutaneous coronary intervention