JACC: Case Reports (Mar 2021)

Empirical Ablation to Prevent Sequential Purkinje System Recruitment

  • Pattara Rattanawong, MD,
  • Vatsal Ladia, MBBS, MD, MHA,
  • Nareg Minaskeian, MD,
  • Dan Sorajja, MD,
  • Win-Kuang Shen, MD,
  • Komandoor S. Srivathsan, MD

Journal volume & issue
Vol. 3, no. 3
pp. 517 – 522

Abstract

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We report 3 cases (mean age 48.3 ± 11.6 years) of idiopathic ventricular fibrillation (IVF), in which a triggering premature ventricular complex leading to IVF could not be identified. All patients underwent posterior fascicle transection with empirical linear ablation of the mid-Purkinje potentials identified along the left ventricular interventricular inferior septum, and no ventricular fibrillation recurrence was documented in any of the patients. (Level of Difficulty: Advanced.)

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