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Right ventricular free-wall scar: an exceptional source of post-infarction ventricular tachycardia. A case report.


ABSTRACT: In patients with coronary artery disease, ventricular tachycardia (VT) is usually related to left ventricular (LV) post-infarction scars. A case of a 78-year-old man with post-infarction VT originating from the right ventricular (RV) free wall is described. Following recurrent episodes of VT with left bundle branch block morphology and left superior axis deviation, a patient with prior myocardial infarction was submitted to catheter ablation. Two areas of abnormal bipolar electrograms were observed at 3D electroanatomical mapping: one located at the basal aspect of the posterior and postero-septal LV, and the other one extending from the antero-lateral to the posterior mid-basal RV free wall. Ventricular late potentials (LPs) were recorded within both scars, but only pacing from those loca

SUBMITTER: Tritto M 

PROVIDER: S-EPMC6601154 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature