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Successful Ablation of Single Reentrant Ventricular Tachycardia Arising from Peri-Aortic Scar in a Patient with an Apparently Normal Heart

Peri-aortic region is one of the arrhythmogenic foci associated not only with idiopathic ventricular tachycardia (VT), but also scar-related VT in patients with an apparently normal heart[1-3]. A recent study reported that the patients with scar-related VT were significantly older, had a frequent history of hypertension, and inducibility of multiple monomorphic VTs compared to the patients with idiopathic VT [2].  However, whether these clinical features are the causes of the peri-aortic scar or innocent by-standers, remain uncertain. Here, we present a relatively young normotensive patient with a peri-aortic scar and emphasize the importance of cardiac MRI to detect latent arrhythmogenic substrates.

Credits: Hiro Yamasaki, MD; Gerhard Hindricks, MD, FHRS; Arash Arya, MD, FHRS; Philipp Sommer, MD, FHRS, FESC

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Introduction to AFib
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