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PE-482887-005 VENTRICULAR SEPTAL DEFECT CHARACTERISTICS INFLUENCE PRESENCE OF SEPTAL ANATOMICAL ISTHMUSES IN PATIENTS WITH REPAIRED TETRALOGY OF FALLOT

HeartRhythm

In repaired tetralogy of Fallot (rTOF), the septal anatomical isthmuses (AI), 3, between the ventricular septal defect (VSD) and pulmonary annulus, and 4, between the VSD and tricuspid annulus, are important ventricular tachycardia (VT) substrates when slow conducting.

VSD 40
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PO-06-072 BIPOLAR ABLATION FOR SEPTAL VENTRICULAR TACHYCARDIA IN A PATIENT WITH CARDIAC SARCOIDOSIS

HeartRhythm

Bipolar ablation carries a risk of steam pops, conduction system injury, etc but iatrogenic VSD has not previously been described Bipolar radiofrequency (RF) ablation is an adjunctive tool for VT ablation to treat deep intraseptal or mid-myocardial sources of arrhythmias.

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Collection of a few ECGs in congenital heart diseases

All About Cardiovascular System and Disorders

The sign has been described in VSD with biventricular hypertrophy in children. It can be seen with isolated VSD as well as complex ventricular septal defect. Katz-Wachtel Phenomenon or Sign on ECG in VSD An ECG with Katz-Wachtel phenomenon is shown here.

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Evaluation of JVP

All About Cardiovascular System and Disorders

But in a VSD with pulmonary hypertension A wave is not prominent. It will not occur in the presence of a large VSD which equalizes both right ventricular and left ventricular pressures. One is ventricular tachycardia with regular retrograde activation. Second is junctional tachycarida. That can also cause regular cannon waves.