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KMID : 1011920210220010015
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International Journal of Arrhythmia
2021 Volume.22 No. 1 p.15 ~ p.15
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Ablation of idiopathic ventricular arrhythmias originating from basal cardiac crux region
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Khmao Pichmanil
Hwang Chun
Pak Hui-Nam
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Abstract
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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.
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KEYWORD
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Cardiac crux region, Idiopathic ventricular arrhythmias, Radiofrequency ablation
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