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Europace Advance Access published online on May 21, 2008
Europace, doi:10.1093/europace/eun119
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org
The online version of this article has been published under an open access model. Users are entitled to use, reproduce, disseminate, or display the open access version of this article for non-commercial purposes provided that the original authorship is properly and fully attributed; the Journal, Learned Society and Oxford University Press are attributed as the original place of publication with correct citation details given; if an article is subsequently reproduced or disseminated not in its entirety but only in part or as a derivative work this must be clearly indicated. For commercial re-use, please contact journals.permissions©oxfordjournals.org.

CASE REPORT

Ablation of an idiopathic left ventricular tachycardia originating from the posterior mitral annulus in a toddler

Katarina Van Beeumen1,*, Feifan Ouyang2, Rene Tavernier1, Wim De Caluwe1 and Mattias Duytschaever1

1 Department of Cardiology, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium; 2 Department of Cardiology, Asklepios Klinik St Georg, Lohmuhlstrasse 5, 20099 Hamburg, Germany

Ablation of a mitral annulus (MA)-ventricular tachycardia (VT), a rare form of idiopathic left VT, has not yet been described in patients <2 years of age. We describe a case of a toddler with an incessant, poorly tolerated idiopathic VT (190 bpm) refractory to medical therapy, which was successfully ablated in the left ventricle at the infero-posterior part of the MA. Different diagnostic and ablation steps are described. Mitral annulus-ventricular tachycardia, a rare form of idiopathic left VT, can safely and successfully be ablated in very young children.

* Corresponding author. Tel: +32 9 3 32 34 59; fax: +0032 9 3 32 49 66. E-mail address: katarina.vanbeeumen{at}ugent.be

Manuscript submitted 8 February 2008. Accepted after revision 14 April 2008.


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