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Open Access Publications from the University of California

Successful catheter ablation of focal ventricular fibrillation originating from the right ventricle

  • Author(s): Suh, William M.
  • Fowler, Steven J.
  • Yeh, Timothy
  • Krishnan, Subramaniam C.
  • et al.

Sudden cardiac death from ventricular fibrillation (VF) typically occurs in patients with structural heart disease, but in 5 to 10 percent VF is “idiopathic,” occurring in normal hearts. Recently, there has been the description and growing recognition of patients with VF that has a focal origin, the common sites being in the right ventricular outflow tract (RVOT) and sites in the left ventricle. A focus within the right ventricle outside the RVOT is rare. We present a case of a woman with VF storm that was localized to the inferobasal right ventricle and was successfully treated with radiofrequency ablation.

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