We present a rare case of idiopathic adenosine-sensitive VT arising from the epicardial venous system. Early recognition of the typical ECG features of epicardial VT facilitated a focussed approach to mapping and successful ablation from the middle cardiac vein (MCV).
Abbreviations:VT (Ventricular tachycardia), WCT (wide-complex tachycardia), RBBB (right bundle branch block), MCV (middle cardiac vein), RCA (right coronary artery)
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Published online: March 26, 2015
Accepted: March 14, 2015
Received: February 18, 2015
© 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.