학술논문
Left ventricular summit premature ventricular contractions treated by venous ethanol infusion: Scar assessment by magnetic resonance imaging.
Document Type
Article
Author
Source
Subject
*HEART radiography
*LEFT heart ventricle
*INTRAVENOUS therapy
*MYOCARDIAL injury
*MAGNETIC resonance imaging
*TREATMENT effectiveness
*ARRHYTHMIA
*ETHANOL
*HEART physiology
*PATIENT safety
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Language
ISSN
0147-8389
Abstract
Left ventricular (LV) summit premature ventricular contractions (PVCs) are often unresponsive to radiofrequency (RF) ablation. Retrograde venous ethanol infusion (RVEI) can be a valuable alternative in this scenario. A 43‐year‐old woman without structural heart disease presented with LV summit PVCs unresponsive to RF ablation because of their deep‐seated origin. Unipolar pace mapping performed through a wire inserted into a branch of the distal great cardiac vein (GCV) demonstrated 12/12 concordance with the clinical PVCs thus indicating close proximity to PVCs' origin. RVEI abolished the PVCs without complications. Subsequently, magnetic resonance imaging (MRI) evidenced an intramural myocardial scar produced by ethanol ablation. In conclusion, RVEI effectively and safely treated PVC arising from a deep site in the LVS. The scar provoked by chemical damage was well characterized by MRI imaging. [ABSTRACT FROM AUTHOR]