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Europace Advance Access published online on August 3, 2006
Europace, doi:10.1093/europace/eul084
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© The European Society of Cardiology 2006. All rights reserved
Received August 16, 2005
Accepted May 20, 2006

Article

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

Miguel Álvarez 1 *, Luis Tercedor 1, José M Lozano 1, and José Azpitarte 1

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

* To whom correspondence should be addressed.
Miguel Álvarez, E-mail: malvarez{at}fundacionhvn.org


  Abstract

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.

Keywords: Double-chambered right ventricle; Monomorphic ventricular tachycardia; Cardiac surgery for congenital heart disease.
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