Long-term remission of left posterior fascicular ventricular tachycardia due to mechanical trauma

Abstract

A case of a 28-year-old woman with paroxysmal left posterior fascicular ventricular tachycardia (LPFVT) is presented. Ventricular tachycardia was not inducible after completing of left ventricle 3D reconstruction.

Even though catheter ablation was not perfomed, no LPFVT recurrence has been documented during 60 months´ follow-up. We surmise that we caused mechanical trauma during the mapping of the posterior fascicle that damaged arrhythmogenic structures and subsequently led to long-term remission of the LPFVT.

Keywords

• cardiac electrophysiology
• catheter ablation
• ventricular tachycardia