rv-lv and epicardial anatomy in vt … · inlet-outlet ring around right av junction and outflow...

©2012 MFMER | 3200268v1(2003)-1

Samuel J. Asirvatham, M.D.Mayo Clinic – Rochester

AF, VT, VF Summit – Chicago, IllinoisFriday, December 6, 2019: 7:50 to 8:15 a.m.

RV-LV and Epicardial Anatomy in VT

Right Ventricular Outflow Tract VT

26 yrs female, 25,000 PVCs on Holter 3 failed ablations

LAO

Cardiac Vein

RVOT

LVOT

retrograde

approachLCX

LAD

Normal HeartDirection of Great Arteries

Anterior View

RV

LV

Ao PA

• Pulmonary artery

Anterior to aorta

To left shoulder

• Ascending aorta

Posterior to PA

To right shoulder

• Aorta-PA angle

60 to 90 degrees

Normal HeartVentricles

Long-Axis View

RVOT

LV

Ao

LA

Normal HeartValves & Coronary Arteries

Cardiac Base

MVTV

PV

AVLCX

LADRCA

CS

Conus

Inlet-outlet ring aroundRight AV junction and Outflow tracts

Left AV junction

Trabecular componentof right ventricle

Left ventricle

Ventricular bundle branches on apical trabecular septum

Primaryseptum

Dead-end tract

AV grove

Rightventricle

AV grove

Compact node

Penetrating bundle

Dead-end tract

Branching bundle and bundle branchesCP1041447-5

12-lead ECG

RVOT Anatomy LPO

Lasso in

aortic-root

I

V1

V2

Lasso at Aortic Sinus of Valsava

Normal HeartExternal Topography

Superior View

RAA

LAA

Normal HeartTransverse Sinus

Anterior View Left Lateral View

Ao

PA

PA

Ao

LA

Normal HeartPericardium

Opened Parietal Pericardium

Internal Cardiac AnatomyAtrioventricular Valves

Tricuspid Valve (RV View)

S

A

P

©2012 MFMER | 3208966-40

Internal Cardiac AnatomyAtrioventricular Valves

Mitral Valve (Opened, LA Aspect)

Anterior

Posterior

ALPM

LA

LV

Moderator band VT

©2012 MFMER | 3200268v1(2003)-45

Samuel J. Asirvatham, M.D.Mayo Clinic – Rochester

AF, VT, VF Summit – Chicago, IllinoisFriday, December 6, 2019: 7:50 to 8:15 a.m.

RV-LV and Epicardial Anatomy in VT

rv-lv and epicardial anatomy in vt … · inlet-outlet ring around right av junction and outflow...

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