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- W2007220410 abstract "Ventricular tachycardia arising from the peri-aortomitral continuity (peri-AMC) region in structural heart disease is uncommon. A 70-year-old of post-CABG patient with biventricular ICD was admitted for drug-resistant VT storm. Four inducible VTs (VT1–4) demonstrated RBBB morphology with inferior axis. Mechanism of VT was reentry based on the entrainment study but the identification of circuit was difficult. Pacemapping suggested that the exit of VT1 and 2 be in the vicinity of the peri-AMC but perfect pacemaps were not gained, whereas perfect pacemaps for VT3 and 4 were yielded at the LV basal-anterior wall where the islet of low voltage area (LVA) was elucidated with substrate mapping. In order to confine the putative origins of VT1 and 2, radiofrequency applications were given along the peri-AMC to the anterior mitral annulus (AMA). Subsequently, the linear lesion was made from the AMA to the septal LVA across the LVA-islet of basal-anterior wall. After the procedure, no VT could be induced and demonstrated. Interestingly, origins of VT1 and 2 were concentrated nearby the peri-AMC in which did not correspond to the ischemic area. We suppose that the arrhythmogenicity in the peri-AMC contributed to the VT storm in conjunction with the ischemic scars. The substrate modification of the peri-AMC was effective for the bail-out of VT storm." @default.
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- W2007220410 date "2011-01-01" @default.
- W2007220410 modified "2023-10-17" @default.
- W2007220410 title "Successful Ablation for the Ventricular Tachycardia Storm Arising from the Peri-Aortomitral Continuity in a Patient with Ischemic Cardiomyopathy" @default.
- W2007220410 doi "https://doi.org/10.4020/jhrs.27.pe4_114" @default.
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