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Cryoablation of a left coronary cusp ventricular tachycardia
  1. Laurent Pison,
  2. Carl Timmermans,
  3. Luz-Maria Rodriguez
  1. Department of Cardiology, Academic Hospital Maastricht and Cardiovascular Research Institute Maastricht, Maastricht, The Netherlands
  1. Correspondence to Laurent Pison; l.pison{at}mumc.nl

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An otherwise healthy 19-year-old woman presented with a history of palpitations. A 12-lead ECG demonstrated runs of monomorphic, non-sustained ventricular tachycardia (VT) with left bundle-branch block morphology, right-axis deviation, suggesting an idiopathic VT from a coronary cusp (figure 1, panel B).1 Echocardiography demonstrated a structurally and functionally normal heart. She was admitted for electrophysiological evaluation and catheter ablation.

Figure 1

The 12-lead ECG and endocardial recordings before (A, B), during (C) and after (D) cryoablation of the ventricular arrhythmia originating in …

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