Substrate-based catheter ablation of epicardial ventricular tachycardia related to an anomalous coronary artery.

Substrate-based catheter ablation of epicardial ventricular tachycardia related to an anomalous coronary artery.
复制标题

与冠状动脉异常相关的心外膜室性心动过速的基于基质的导管消融。

DOI:
10.1111/j.1540-8167.2006.00717.x
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发表时间:
2007
影响因子:
2.7
通讯作者:
Reddy,VivekY
Reddy,VivekY
中科院分区:
医学3区
文献类型:
--
作者:
Neuzil,Petr;Balak,Jan;Kralovec,Stepan;Reddy,VivekY

文献摘要

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延迟增强磁共振成像以其识别瘢痕心肌组织的能力而闻名。该病例报告描述了使用MR成像来确定一名45岁女性患者的梗死组织的位置和透壁范围,该患者患有异常右冠状动脉和血流动力学不稳定的室性心动过速。通过证明主要是心外膜梗死,MR成像表明心包入路对于成功的基质基室性心动过速消融是必要的。
Delayed enhancement magnetic resonance imaging is known for its ability to identify scarred myocardial tissue. This case report describes the use of MR imaging to define the location and transmural extent of infarcted tissue in a 45‐year‐old woman with an anomalous right coronary artery and hemodynamically unstable ventricular tachycardia. By demonstrating a predominantly epicardial infarct, MR imaging indicated that the pericardial approach was necessary for successful substrate‐based ventricular tachycardia ablation.