PMID- 32721656 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20210621 IS - 1532-8430 (Electronic) IS - 0022-0736 (Linking) VI - 61 DP - 2020 Jul-Aug TI - Perfect pace-mapping with different latencies from adjacent sites in bilateral outflow tract leading to successful sequential unipolar ablation. PG - 161-163 LID - S0022-0736(20)30145-X [pii] LID - 10.1016/j.jelectrocard.2020.06.010 [doi] AB - A 77-year-old man with frequent monomorphic ventricular premature contractions (VPCs) was referred for catheter ablation. Detailed mapping just above the pulmonary valve (PV) revealed tiny fragmented potentials earlier than the VPC onset. Perfect pace-mapping was obtained using high voltage pacing just above the PV and the left aortic sinus of Valsalva, whose stimulus-to-VPC latencies differed by 20 ms. While the ablation at the pulmonary valve could not completely eliminate the VPCs, unipolar sequential ablation on both sides of the outflow tracts led to their successful abolition that was guided by perfect pace-mapping. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Hanaki, Yuichi AU - Hanaki Y AD - Department of Cardiology, Tsuchiura Kyodo Hospital, Tsuchiura, Japan. FAU - Hachiya, Hitoshi AU - Hachiya H AD - Department of Cardiology, Tsuchiura Kyodo Hospital, Tsuchiura, Japan. Electronic address: hh8814.cvm@tmd.ac.jp. FAU - Kusa, Shigeki AU - Kusa S AD - Department of Cardiology, Tsuchiura Kyodo Hospital, Tsuchiura, Japan. FAU - Yamao, Kazuya AU - Yamao K AD - Department of Cardiology, Tsuchiura Kyodo Hospital, Tsuchiura, Japan. FAU - Sato, Yoshikazu AU - Sato Y AD - Department of Cardiology, Tsuchiura Kyodo Hospital, Tsuchiura, Japan. FAU - Hara, Satoshi AU - Hara S AD - Department of Cardiology, Tsuchiura Kyodo Hospital, Tsuchiura, Japan. FAU - Tsumagari, Yasuaki AU - Tsumagari Y AD - Department of Cardiology, Tsuchiura Kyodo Hospital, Tsuchiura, Japan. FAU - Iesaka, Yoshito AU - Iesaka Y AD - Department of Cardiology, Tsuchiura Kyodo Hospital, Tsuchiura, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20200607 PL - United States TA - J Electrocardiol JT - Journal of electrocardiology JID - 0153605 SB - IM MH - Aged MH - *Catheter Ablation MH - Electrocardiography MH - Humans MH - Male MH - *Sinus of Valsalva/surgery MH - *Tachycardia, Ventricular/surgery MH - Treatment Outcome MH - *Ventricular Premature Complexes/diagnosis/surgery OTO - NOTNLM OT - Catheter ablation OT - Pace-mapping OT - Ventricular premature contraction COIS- Declaration of competing interest The authors have none to declare. EDAT- 2020/07/30 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/07/30 06:00 PHST- 2020/03/24 00:00 [received] PHST- 2020/05/23 00:00 [revised] PHST- 2020/06/05 00:00 [accepted] PHST- 2020/07/30 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/07/30 06:00 [entrez] AID - S0022-0736(20)30145-X [pii] AID - 10.1016/j.jelectrocard.2020.06.010 [doi] PST - ppublish SO - J Electrocardiol. 2020 Jul-Aug;61:161-163. doi: 10.1016/j.jelectrocard.2020.06.010. Epub 2020 Jun 7.