Noninvasive 3D Mapping and Ablation of Epicardial Premature Ventricular Contractions From the Endocardial Aspect of the Left Atrial Appendage

Justus Obergassel, CandMed; Ilaria Cazzoli, MD, PhD; Silvia Guarguagli, MD; Venkat D. Nagarajan, MBBS, CEPS, ECDS; Sabine Ernst, MD, PhD

JACC: Case Reports (Sep 2020)

Noninvasive 3D Mapping and Ablation of Epicardial Premature Ventricular Contractions From the Endocardial Aspect of the Left Atrial Appendage

Justus Obergassel, CandMed,
Ilaria Cazzoli, MD, PhD,
Silvia Guarguagli, MD,
Venkat D. Nagarajan, MBBS, CEPS, ECDS,
Sabine Ernst, MD, PhD

Affiliations

Justus Obergassel, CandMed: University of Muenster, Muenster, Germany; Department of Cardiology, Royal Brompton and Harefield Hospital and Imperial College London, London, United Kingdom
Ilaria Cazzoli, MD, PhD: Department of Cardiology, Royal Brompton and Harefield Hospital and Imperial College London, London, United Kingdom
Silvia Guarguagli, MD: Department of Cardiology, Royal Brompton and Harefield Hospital and Imperial College London, London, United Kingdom
Venkat D. Nagarajan, MBBS, CEPS, ECDS: Department of Cardiology, Royal Brompton and Harefield Hospital and Imperial College London, London, United Kingdom; Department of Cardiology, Doncaster and Bassetlaw Hospitals NHS Foundation Trust, Doncaster, United Kingdom
Sabine Ernst, MD, PhD: Department of Cardiology, Royal Brompton and Harefield Hospital and Imperial College London, London, United Kingdom; Address for correspondence: Dr. Sabine Ernst, National Heart and Lung Institute, Imperial College, Royal Brompton and Harefield Hospital, Sydney Street, London SW3 6NP, United Kingdom.

Journal volume & issue: Vol. 2, no. 11
pp. 1776 – 1780

Abstract

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Ablation is an established treatment for ectopy originating from the left ventricle (LV). We report on a case of noninvasive 3-dimensional mapping locating the origin precisely in the epicardial LV summit area. However, after failed attempts from LV and epicardially, ablation via the left atrial appendage was finally successful. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

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