Fulguration of extrasystolic ventricular focus

Velázquez Rodríguez, E.; Rosas, F.; Frank, R.; Fontaine, G.; Tonet, J.; Lascault, G.; Gallais, Y.

Archivos del Instituto de Cardiologia de Mexico 65(2): 153-158

1995


ISSN/ISBN: 0020-3785
PMID: 7543744
Document Number: 450087
A case is presented of symptomatic premature ventricular contractions refractory to drug therapy with right bundle branch block QRS morphology and left axis deviation in a 68-year-old female without structural heart disease. Endocardial mapping localized the extrasystolic focus at meso-inferoapical region of the left ventricular septum suggesting an origin from the Purkinje network of the left posterior fascicle. Catheter ablation with direct-current energy abolished extrasystolic complexes, without complications. The patient remained asymptomatic over a follow-up of 3 months.

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