Pei-Lun, Hung

Case 1

35 Y/O manDM(-), HTN(-), Smoking(-)Reccurent palpitation for several yearsUnderwent failed CARTO guided-VT ablation attempt at a previous centreOn Propafenone 150mg, TID

Physical Exam

Obese Irregular pulsesIntermittently varying S1 intensity

Investigations

ECGEcho -Normal biventricular functionHolter - VT episodesCAG- Normal

ECG

Successful ablation

Case 2

Mr. Yang53 Y/O famerNo systemic disease, except cardiac arrhythmias for several yearsAggravation of palpitation for 6 months. He visited Chang-Bing Show-Chwan Memorial hospital CV OPD in 99.12.Admission to VGH-TPE CV ward on 100.1.4 for EPS+/-ABL.

The earliest activation site

RCC

LCC

Successful ablation

VT origin from subvalvular area beneath LCC with successful ablation.

%

Our caseCase1 Case2

1) LBBB and right inferior axis2) transition between V2-V33) rS complex over lead I, QS over aVL4) R wave III/II ratio of＞0.9

Catheter ablation within the sinus of Valsalva—

The ABL is safe and effective.

Thanks for your attention!