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Europace Advance Access originally published online on August 3, 2006
Europace 2006 8(10):901-903; doi:10.1093/europace/eul084
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

ELECTROPHYSIOLOGY

Sustained monomorphic ventricular tachycardia associated with unrepaired double-chambered right ventricle

Miguel Álvarez*, Luis Tercedor, José M Lozano and José Azpitarte

Arrhythmia Unit, Cardiology Department, Hospital Universitario Virgen de las Nieves, Avda. Fuerzas Armadas, 18014 Granada, Spain

Double-chambered right ventricle (DCRV) is a congenital anomaly characterized by the division of the ventricular cavity into two chambers separated by an abnormal hypertrophied muscular band or by severe hypertrophy of the muscle wall. Two adult patients with a diagnosis of DCRV presented sustained monomorphic ventricular tachycardia. In both cases, the clinical tachycardia was induced with programmed stimulation. After surgically resecting, the muscular band tachycardia could no longer be induced in the patient who underwent follow-up electrophysiological study. The outcome was favourable; there was no clinical recurrence of ventricular tachycardia in the two patients at 48 and 36 months, respectively.

Key Words: Double-chambered right ventricle, Monomorphic ventricular tachycardia, Cardiac surgery for congenital heart disease

* Corresponding author. Tel/fax: +34 958 020563. E-mail address: malvarez{at}fundacionhvn.org


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