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Europace 2007 9(2):130-133; doi:10.1093/europace/eul168
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

ELECTROPHYSIOLOGY

Monomorphic ventricular tachycardia related to Wolff–Parkinson–White surgery

R.J. Hillock*, K.C. Roberts-Thomson, A.D. McGavigan and J.M. Kalman

Department of Cardiology, The Royal Melbourne Hospital, Grattan Street, Parkville, Melbourne 3052, Australia

Monomorphic ventricular tachycardia (MVT) is well described in patients who have had a ventricular scar due to repair of congenital heart disease. A 54-year-old woman presented with MVT 20 years after WPW surgery for a left-sided accessory pathway. The circuit was mapped to an area at the base of the left ventricle consistent with the incision described in the operation report. Entrainment confirmed the re-entrant circuit. Successful radiofrequency ablation was performed in a zone of slowed conduction consistent with the circuit isthmus. Any iatrogenic ventricular scar may form the substrate for MVT and be treated with standard electrophysiology techniques.

Key Words: Electrophysiology-clinical, Ablation, Wolff–Parkinson–White syndrome, Ventricular tachycardia

* Corresponding author. Tel: +613 93428879; fax: +613 93472808 E-mail address: richard.hillock{at}mh.org.au


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