Ablation of idiopathic ventricular arrhythmias originating from basal cardiac crux region
Abstract Background Ablation of idiopathic ventricular arrhythmias (VAs) in the cardiac crux region is one of the challenging procedures due to the complex anatomical structure where the four chambers of the heart are offset. Although this region is complex, the contiguous cardiac structures allow f...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-09-01
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| Series: | International Journal of Arrhythmia |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42444-021-00045-9 |
| _version_ | 1819067666569101312 |
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| author | Pichmanil Khmao Chun Hwang Hui-Nam Pak |
| author_facet | Pichmanil Khmao Chun Hwang Hui-Nam Pak |
| author_sort | Pichmanil Khmao |
| collection | DOAJ |
| description | Abstract Background Ablation of idiopathic ventricular arrhythmias (VAs) in the cardiac crux region is one of the challenging procedures due to the complex anatomical structure where the four chambers of the heart are offset. Although this region is complex, the contiguous cardiac structures allow for the ablation of arrhythmias from adjacent sites. Case presentation We present different anatomical approaches in radiofrequency ablation and the ECG characteristics from a case series of VAs originated from the basal inferior ventricular septum, the corresponding endocardial aspect of the basal cardiac crux region. Conclusions Ablation of VAs originated from the basal cardiac crux region requires detailed mapping in the proximal coronary venous system and the adjacent structures including the RV, RA, and LV. In addition to the characteristic ECG of basal crux VAs, our three cases present an abrupt precordial transition in V2 with R wave amplitude greater than in V1 and V3. |
| first_indexed | 2024-12-21T16:21:53Z |
| format | Article |
| id | doaj.art-eadb0d8293f246b58e0b76ac1bd58a23 |
| institution | Directory Open Access Journal |
| issn | 2466-1171 |
| language | English |
| last_indexed | 2024-12-21T16:21:53Z |
| publishDate | 2021-09-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Arrhythmia |
| spelling | doaj.art-eadb0d8293f246b58e0b76ac1bd58a232022-12-21T18:57:34ZengBMCInternational Journal of Arrhythmia2466-11712021-09-012211510.1186/s42444-021-00045-9Ablation of idiopathic ventricular arrhythmias originating from basal cardiac crux regionPichmanil Khmao0Chun Hwang1Hui-Nam Pak2Yonsei University Health SystemDepartment of Cardiology, Revere HealthYonsei University Health SystemAbstract Background Ablation of idiopathic ventricular arrhythmias (VAs) in the cardiac crux region is one of the challenging procedures due to the complex anatomical structure where the four chambers of the heart are offset. Although this region is complex, the contiguous cardiac structures allow for the ablation of arrhythmias from adjacent sites. Case presentation We present different anatomical approaches in radiofrequency ablation and the ECG characteristics from a case series of VAs originated from the basal inferior ventricular septum, the corresponding endocardial aspect of the basal cardiac crux region. Conclusions Ablation of VAs originated from the basal cardiac crux region requires detailed mapping in the proximal coronary venous system and the adjacent structures including the RV, RA, and LV. In addition to the characteristic ECG of basal crux VAs, our three cases present an abrupt precordial transition in V2 with R wave amplitude greater than in V1 and V3.https://doi.org/10.1186/s42444-021-00045-9Cardiac crux regionIdiopathic ventricular arrhythmiasRadiofrequency ablation |
| spellingShingle | Pichmanil Khmao Chun Hwang Hui-Nam Pak Ablation of idiopathic ventricular arrhythmias originating from basal cardiac crux region International Journal of Arrhythmia Cardiac crux region Idiopathic ventricular arrhythmias Radiofrequency ablation |
| title | Ablation of idiopathic ventricular arrhythmias originating from basal cardiac crux region |
| title_full | Ablation of idiopathic ventricular arrhythmias originating from basal cardiac crux region |
| title_fullStr | Ablation of idiopathic ventricular arrhythmias originating from basal cardiac crux region |
| title_full_unstemmed | Ablation of idiopathic ventricular arrhythmias originating from basal cardiac crux region |
| title_short | Ablation of idiopathic ventricular arrhythmias originating from basal cardiac crux region |
| title_sort | ablation of idiopathic ventricular arrhythmias originating from basal cardiac crux region |
| topic | Cardiac crux region Idiopathic ventricular arrhythmias Radiofrequency ablation |
| url | https://doi.org/10.1186/s42444-021-00045-9 |
| work_keys_str_mv | AT pichmanilkhmao ablationofidiopathicventriculararrhythmiasoriginatingfrombasalcardiaccruxregion AT chunhwang ablationofidiopathicventriculararrhythmiasoriginatingfrombasalcardiaccruxregion AT huinampak ablationofidiopathicventriculararrhythmiasoriginatingfrombasalcardiaccruxregion |