Left posterior fascicular ventricular tachycardia in a young infant with a structurally normal heart: Clinical course and caveats to electrocardiographic diagnosis

Chenni S Sriram; Mario D Gonzalez; Sanjeev Aggarwal

doi:10.1016/j.jelectrocard.2020.12.003

Left posterior fascicular ventricular tachycardia in a young infant with a structurally normal heart: Clinical course and caveats to electrocardiographic diagnosis

J Electrocardiol. 2021 Jan-Feb:64:85-90. doi: 10.1016/j.jelectrocard.2020.12.003. Epub 2020 Dec 11.

Authors

Chenni S Sriram¹, Mario D Gonzalez², Sanjeev Aggarwal³

Affiliations

¹ Division of Pediatric Cardiology/Electrophysiology, Children's Hospital of Michigan, Detroit, MI, USA. Electronic address: csriram@dmc.org.
² Division of Cardiology/Electrophysiology, Hershey Medical Center, Penn State University School of Medicine, Hershey, PA, USA.
³ Division of Pediatric Cardiology/Electrophysiology, Children's Hospital of Michigan, Detroit, MI, USA.

PMID: 33360625
DOI: 10.1016/j.jelectrocard.2020.12.003

Abstract

In this illustrative case report, we describe a rare case of left posterior fascicular ventricular tachycardia (LPFVT) in a 2 month-old infant with emphasis on electrocardiographic caveats to diagnosis. The clinical course, treatment, and eventual resolution of the VT over a 2 year follow-up is comprehensively compared and contrasted to a modicum of individual such case reports of infants. The corpus of each such case of infantile LPVT is systematically reviewed and succinctly summarized in a tabular compendium. The collective knowledge compiled here should allow for a refined approach to diagnosis and management of this unusual arrhythmia.

Keywords: Infant; Left posterior fascicular ventricular tachycardia (LPFVT); Verapamil sensitive ventricular tachycardia.

Publication types

Case Reports

MeSH terms

Catheter Ablation*
Electrocardiography
Humans
Infant
Tachycardia, Ventricular* / diagnosis
Tachycardia, Ventricular* / surgery