Not so benign- A rare cause of right ventricular outflow tract ventricular tachycardia in patient with congenital heart disease
Right ventricular outflow tract ventricular tachycardia (RVOT VT) is a well-recognised subtype of idiopathic ventricular tachyarrhythmia and often described in young healthy individuals. This arrhythmia typically occurs in patients with a structurally normal heart, and in this context is generally c...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | International Journal of Cardiology Congenital Heart Disease |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666668523000162 |
| _version_ | 1827940504918032384 |
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| author | Becky Yi-Wen Liao Anthony Kueh Andrew Martin Jignesh Shah Ajay Iyengar Chethan Kasargod |
| author_facet | Becky Yi-Wen Liao Anthony Kueh Andrew Martin Jignesh Shah Ajay Iyengar Chethan Kasargod |
| author_sort | Becky Yi-Wen Liao |
| collection | DOAJ |
| description | Right ventricular outflow tract ventricular tachycardia (RVOT VT) is a well-recognised subtype of idiopathic ventricular tachyarrhythmia and often described in young healthy individuals. This arrhythmia typically occurs in patients with a structurally normal heart, and in this context is generally considered benign. In this case we present a rare association between RVOT VT and a ruptured sinus of Valsalva aneurysm in a patient known to have a restrictive ventricular septal defect. Prompt surgical intervention was necessary to prevent potentially life threatening consequences.The diagnostic and surgical evaluation learnt from this case would be useful to remind clinicians to explore rarer causes of RVOT VT especially when patients have underlying congenital heart disease. This case also highlights the importance of utilizing multi-modality imaging for the anatomical assessment of this pathology, which aids definitive management. |
| first_indexed | 2024-03-13T09:11:18Z |
| format | Article |
| id | doaj.art-bdfe830e9ba144da964eeb7859e98a46 |
| institution | Directory Open Access Journal |
| issn | 2666-6685 |
| language | English |
| last_indexed | 2024-03-13T09:11:18Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology Congenital Heart Disease |
| spelling | doaj.art-bdfe830e9ba144da964eeb7859e98a462023-05-27T04:26:48ZengElsevierInternational Journal of Cardiology Congenital Heart Disease2666-66852023-06-0112100454Not so benign- A rare cause of right ventricular outflow tract ventricular tachycardia in patient with congenital heart diseaseBecky Yi-Wen Liao0Anthony Kueh1Andrew Martin2Jignesh Shah3Ajay Iyengar4Chethan Kasargod5Green Lane Cardiovascular Research Unit, Auckland City Hospital, Te Whatu Ora – Health New Zealand, Te Toka Tumai | Auckland, Auckland, New ZealandGreen Lane Cardiovascular Research Unit, Auckland City Hospital, Te Whatu Ora – Health New Zealand, Te Toka Tumai | Auckland, Auckland, New ZealandGreen Lane Cardiovascular Research Unit, Auckland City Hospital, Te Whatu Ora – Health New Zealand, Te Toka Tumai | Auckland, Auckland, New ZealandGreen Lane Cardiovascular Research Unit, Auckland City Hospital, Te Whatu Ora – Health New Zealand, Te Toka Tumai | Auckland, Auckland, New ZealandGreen Lane Paediatric and Congenital Cardiac Services, Starship Children's Hospital, Te Whatu Ora – Health New Zealand, Te Toka Tumai Auckland, Auckland, New ZealandGreen Lane Cardiovascular Research Unit, Auckland City Hospital, Te Whatu Ora – Health New Zealand, Te Toka Tumai | Auckland, Auckland, New Zealand; Corresponding author. 2 Park Road, Grafton, Auckland, 1023, New Zealand.Right ventricular outflow tract ventricular tachycardia (RVOT VT) is a well-recognised subtype of idiopathic ventricular tachyarrhythmia and often described in young healthy individuals. This arrhythmia typically occurs in patients with a structurally normal heart, and in this context is generally considered benign. In this case we present a rare association between RVOT VT and a ruptured sinus of Valsalva aneurysm in a patient known to have a restrictive ventricular septal defect. Prompt surgical intervention was necessary to prevent potentially life threatening consequences.The diagnostic and surgical evaluation learnt from this case would be useful to remind clinicians to explore rarer causes of RVOT VT especially when patients have underlying congenital heart disease. This case also highlights the importance of utilizing multi-modality imaging for the anatomical assessment of this pathology, which aids definitive management.http://www.sciencedirect.com/science/article/pii/S2666668523000162Ventricular tachycardiaCongenital heart diseaseSinus of valsalva aneurysmRight ventricular outflow tract |
| spellingShingle | Becky Yi-Wen Liao Anthony Kueh Andrew Martin Jignesh Shah Ajay Iyengar Chethan Kasargod Not so benign- A rare cause of right ventricular outflow tract ventricular tachycardia in patient with congenital heart disease International Journal of Cardiology Congenital Heart Disease Ventricular tachycardia Congenital heart disease Sinus of valsalva aneurysm Right ventricular outflow tract |
| title | Not so benign- A rare cause of right ventricular outflow tract ventricular tachycardia in patient with congenital heart disease |
| title_full | Not so benign- A rare cause of right ventricular outflow tract ventricular tachycardia in patient with congenital heart disease |
| title_fullStr | Not so benign- A rare cause of right ventricular outflow tract ventricular tachycardia in patient with congenital heart disease |
| title_full_unstemmed | Not so benign- A rare cause of right ventricular outflow tract ventricular tachycardia in patient with congenital heart disease |
| title_short | Not so benign- A rare cause of right ventricular outflow tract ventricular tachycardia in patient with congenital heart disease |
| title_sort | not so benign a rare cause of right ventricular outflow tract ventricular tachycardia in patient with congenital heart disease |
| topic | Ventricular tachycardia Congenital heart disease Sinus of valsalva aneurysm Right ventricular outflow tract |
| url | http://www.sciencedirect.com/science/article/pii/S2666668523000162 |
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