Bundle brunch reentrant ventricular tachycardia with two distinct conduction patterns in a patient with complete right bundle branch block

Pacing Clin Electrophysiol. 2006 Dec;29(12):1438-41. doi: 10.1111/j.1540-8159.2006.00560.x.

Abstract

We report a rare case of bundle branch reentrant ventricular tachycardia [BBRVT]. A 67-year-old female was admitted for management of wide QRS tachycardia (right bundle branch block [RBBB] and a southwest axis). The mapping procedure revealed the tachycardia circuit consisted of the left anterior fascicle (LAF) as an antegrade, and the right bundle as a retrograde pathway. She presented RBBB during sinus rhythm. LAF ablation changed the tachycardia configuration to a northwest axis and prolonged the cycle length. Left posterior fascicle ablation terminated the tachycardia, and complete atrioventricular block occurred, which showed the unidirectional conduction over the right bundle.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Body Surface Potential Mapping / methods*
  • Bundle-Branch Block / complications*
  • Bundle-Branch Block / diagnosis*
  • Female
  • Heart Conduction System*
  • Humans
  • Rare Diseases / diagnosis
  • Tachycardia, Atrioventricular Nodal Reentry / complications*
  • Tachycardia, Atrioventricular Nodal Reentry / diagnosis*