Ablation of Idiopathic Premature Ventricular Arrhythmias Originating from the Basal Cardiac Crux Region: A Case Report
Basal Cardiac Crux PVC Ablation
Keywords:
cardiac crux, high-power short-duration (HP-SD) ablation, premature ventricular contractions (PVCs)Abstract
Ablation of the idiopathic ventricular arrhythmias (VAs) originated from the basal crux is a challenging procedure. Due to the presence of contiguous structures, performing ablation in this region requires the use of different approaches and strategies. We have performed the ablation using high-power short-duration (HP-SD) radiofrequency delivery for premature ventricular contractions (PVCs) that originated from the basal crux from the endocardial aspect. Ablation of PVCs originated from basal crux of the heart requires detailed mapping of proximal coronary venous system and the adjacent structures such as right ventricle (RV), left ventricle (LV) and right atrium (RA). Understanding this complex anatomical relationship is important for achieving successful ablation and avoiding complications. Different technical strategies could be used for both endocardial and epicardial approaches.
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Copyright (c) 2025 Kadir Karacali, Ibrahim Etem Celik, Fatih Oksuz, Esra Varol, Muhammed Karadeniz, Mustafa Duran
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The journal's content is licensed under the Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
