Congenital left ventricular apical aneurysm presenting as ventricular tachycardia

Amado, José; Marques, Nuno; Candeias, Rui; Gago, Paula; de Jesus, Ilidio

http://hdl.handle.net/10400.1/9258

Use this identifier to reference this record.

Name:	Description:	Size:	Format:
1-s2.0-S0870255116301780-main.pdf		914.65 KB	Adobe PDF	Download

Send Feedback

Authors

Amado, José

Marques, Nuno

Candeias, Rui

Gago, Paula

de Jesus, Ilidio

Abstract(s)

The authors present the case of a 34-year-old male patient seen in our department due to palpitations. On the electrocardiogram monomorphic ventricular tachycardia (VT) was documented, treated successfully with amiodarone. The subsequent study revealed a normal echocardiogram and an apical aneurysm of the left ventricle on magnetic resonance imaging, confirmed by computed tomography coronary angiography that also excluded coronary disease.He underwent an electrophysiological study to determine the origin of the VT and to perform catheter ablation using electroanatomical mapping. VT was induced and radiofrequency applications were performed in the left ventricular aneurysm area. VT was no longer inducible, with acute success. Despite this it was decided to implant a subcutaneous implantable cardioverter-defibrillator (ICD). Eight months after the ablation the patient was admitted again due to VT, treated by the ICD. (C) 2016 Sociedade Portuguese de Cardiologia. Published by Elsevier Espana, S.L.U. All rights reserved.