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Right Atrial Approach for Ablation of Ventricular Arrhythmias Arising From the Left Posterior–Superior Process of the Left Ventricle by Pasquale Santangeli, Mathew D. Hutchinson, Gregory E. Supple, David J. Callans, Francis E. Marchlinski, and Fermin C. Garcia Circ Arrhythm Electrophysiol Volume 9(7):e004048 July 13, 2016 Copyright © American Heart Association, Inc. All rights reserved. 12-lead ECG with the morphology of the ventricular arrhythmias arising from the posterior– superior process of the left ventricle (PSP-LV). Pasquale Santangeli et al. Circ Arrhythm Electrophysiol. 2016;9:e004048 Copyright © American Heart Association, Inc. All rights reserved. A, Electrogram demonstrating earliest endocardial activation in the posterior–superior process (PSP) of the left ventricle (LV) mapped in the LVOT below the LCC. B, intracardiac echocardiography (ICE) catheter position. Pasquale Santangeli et al. Circ Arrhythm Electrophysiol. 2016;9:e004048 Copyright © American Heart Association, Inc. All rights reserved. Clinical premature ventricular contraction (PVC) and pacemap from the right atrial (RA) aspect of the posterior–superior process of the left ventricle (PSP-LV). Pasquale Santangeli et al. Circ Arrhythm Electrophysiol. 2016;9:e004048 Copyright © American Heart Association, Inc. All rights reserved. Anatomic description of the posterior–superior process (PSP) of the left ventricle (LV). Pasquale Santangeli et al. Circ Arrhythm Electrophysiol. 2016;9:e004048 Copyright © American Heart Association, Inc. All rights reserved. Development of the atrioventricular canal and ventricular inlets. Pasquale Santangeli et al. Circ Arrhythm Electrophysiol. 2016;9:e004048 Copyright © American Heart Association, Inc. All rights reserved.