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Transcript 
Supravalvular Arrhythmia
by Niloufar Tabatabaei, and Samuel J. Asirvatham
Circ Arrhythm Electrophysiol
Volume 2(3):316-326
June 1, 2009
Copyright © American Heart Association, Inc. All rights reserved.
Figure 1. Intracardiac ultrasound image showing the close relationship between the pulmonary
valve and the aortic valve close to the ostium of the left main coronary artery.
Niloufar Tabatabaei, and Samuel J. Asirvatham Circ
Arrhythm Electrophysiol. 2009;2:316-326
Copyright © American Heart Association, Inc. All rights reserved.
Figure 2. Sectional view at the base of the heart showing the important relation of the aortic
valve with all other cardiac valves and myocardium.
Niloufar Tabatabaei, and Samuel J. Asirvatham Circ
Arrhythm Electrophysiol. 2009;2:316-326
Copyright © American Heart Association, Inc. All rights reserved.
Figure 3. Endocavitary view of the RVOT pulmonary artery junction.
Niloufar Tabatabaei, and Samuel J. Asirvatham Circ
Arrhythm Electrophysiol. 2009;2:316-326
Copyright © American Heart Association, Inc. All rights reserved.
Figure 4. Endocardial view of the junction between the LVOT and aorta.
Niloufar Tabatabaei, and Samuel J. Asirvatham Circ
Arrhythm Electrophysiol. 2009;2:316-326
Copyright © American Heart Association, Inc. All rights reserved.
Figure 5. Intracardiac ultrasound image showing the cross-sectional view of the aortic valve with
the ablation catheter in the LCC. His indicates His catheter; Abl, Ablation catheter.
Niloufar Tabatabaei, and Samuel J. Asirvatham Circ
Arrhythm Electrophysiol. 2009;2:316-326
Copyright © American Heart Association, Inc. All rights reserved.
Figure 6. Right and left anterior oblique fluoroscopic images of catheter position in the LCC/RCC
junction.
Niloufar Tabatabaei, and Samuel J. Asirvatham Circ
Arrhythm Electrophysiol. 2009;2:316-326
Copyright © American Heart Association, Inc. All rights reserved.
Figure 7. Alternate mapping technique for the aortic mitral continuity region.
Niloufar Tabatabaei, and Samuel J. Asirvatham Circ
Arrhythm Electrophysiol. 2009;2:316-326
Copyright © American Heart Association, Inc. All rights reserved.
Figure 8. Left and right anterior oblique fluoroscopic images of ablation catheter position in the
NCC (see Figure 11).
Niloufar Tabatabaei, and Samuel J. Asirvatham Circ
Arrhythm Electrophysiol. 2009;2:316-326
Copyright © American Heart Association, Inc. All rights reserved.
Figure 9. Illustration of anatomic/ECG correlation with supravalvar ventricular arrhythmia.
Niloufar Tabatabaei, and Samuel J. Asirvatham Circ
Arrhythm Electrophysiol. 2009;2:316-326
Copyright © American Heart Association, Inc. All rights reserved.
Figure 10. Left panel, ECG pattern characteristic of ventricular arrhythmia originating in the LCC
in the region of the aortic mitral continuity.
Niloufar Tabatabaei, and Samuel J. Asirvatham Circ
Arrhythm Electrophysiol. 2009;2:316-326
Copyright © American Heart Association, Inc. All rights reserved.
Figure 11.
Niloufar Tabatabaei, and Samuel J. Asirvatham Circ
Arrhythm Electrophysiol. 2009;2:316-326
Copyright © American Heart Association, Inc. All rights reserved.
Figure 12. Intracardiac electrograms taken during mapping of atrial tachycardia originating in
the NCC (see Figure 7).
Niloufar Tabatabaei, and Samuel J. Asirvatham Circ
Arrhythm Electrophysiol. 2009;2:316-326
Copyright © American Heart Association, Inc. All rights reserved.
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