Ventricular ectopy from the non-coronary cusp: Pathophysiological and anatomical considerations

Non-coronary cusp (NCC) is a rare site for ventricular arrhythmias because it does not come into direct contact with the ventricular myocardium. Instead, the NCC comes in contact with the membranous septum near the His region. We describe a case of a young man with a ventricular ectopy who was succe...

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Main Authors: Panagiotis Ioannidis, Evangelia Christoforatou, Theodoros Zografos, Konstantinos Kouvelas, Andreas Tsoumeleas, Sotirios Floros, Theodora Kappou, Charalambos Vassilopoulos
Format: Article
Language:English
Published: Elsevier 2021-07-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629221000590
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spelling doaj-8014de85de3248138cd80c731b4d54122021-07-07T04:10:11ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922021-07-01214245247Ventricular ectopy from the non-coronary cusp: Pathophysiological and anatomical considerationsPanagiotis Ioannidis0Evangelia Christoforatou1Theodoros Zografos2Konstantinos Kouvelas3Andreas Tsoumeleas4Sotirios Floros5Theodora Kappou6Charalambos Vassilopoulos7Heart Rhythm Center, Athens Bioclinic, Athens, Greece; Corresponding author. 15 M. Geroulanou St. 11524, Athens, Greece.Heart Rhythm Center, Athens Bioclinic, Athens, GreeceHeart Rhythm Center, Athens Bioclinic, Athens, GreeceHeart Rhythm Center, Athens Bioclinic, Athens, GreeceHeart Rhythm Center, Athens Bioclinic, Athens, GreeceHeart Rhythm Center, Athens Bioclinic, Athens, GreeceHeart Rhythm Center, Athens Bioclinic, Athens, GreeceHeart Rhythm Center, Athens Bioclinic, Athens, GreeceNon-coronary cusp (NCC) is a rare site for ventricular arrhythmias because it does not come into direct contact with the ventricular myocardium. Instead, the NCC comes in contact with the membranous septum near the His region. We describe a case of a young man with a ventricular ectopy who was successfully ablated in the NCC. In our case the much greater prematurity in the NCC than in the His region suggests that the arrhythmic site of origin is not in the peri-His area but most likely a myocardial extension adjoining the aortic root.http://www.sciencedirect.com/science/article/pii/S0972629221000590Non-coronary cuspVentricular ectopyCatheter ablationAortic rootMyocardial extensions
collection DOAJ
language English
format Article
sources DOAJ
author Panagiotis Ioannidis
Evangelia Christoforatou
Theodoros Zografos
Konstantinos Kouvelas
Andreas Tsoumeleas
Sotirios Floros
Theodora Kappou
Charalambos Vassilopoulos
spellingShingle Panagiotis Ioannidis
Evangelia Christoforatou
Theodoros Zografos
Konstantinos Kouvelas
Andreas Tsoumeleas
Sotirios Floros
Theodora Kappou
Charalambos Vassilopoulos
Ventricular ectopy from the non-coronary cusp: Pathophysiological and anatomical considerations
Indian Pacing and Electrophysiology Journal
Non-coronary cusp
Ventricular ectopy
Catheter ablation
Aortic root
Myocardial extensions
author_facet Panagiotis Ioannidis
Evangelia Christoforatou
Theodoros Zografos
Konstantinos Kouvelas
Andreas Tsoumeleas
Sotirios Floros
Theodora Kappou
Charalambos Vassilopoulos
author_sort Panagiotis Ioannidis
title Ventricular ectopy from the non-coronary cusp: Pathophysiological and anatomical considerations
title_short Ventricular ectopy from the non-coronary cusp: Pathophysiological and anatomical considerations
title_full Ventricular ectopy from the non-coronary cusp: Pathophysiological and anatomical considerations
title_fullStr Ventricular ectopy from the non-coronary cusp: Pathophysiological and anatomical considerations
title_full_unstemmed Ventricular ectopy from the non-coronary cusp: Pathophysiological and anatomical considerations
title_sort ventricular ectopy from the non-coronary cusp: pathophysiological and anatomical considerations
publisher Elsevier
series Indian Pacing and Electrophysiology Journal
issn 0972-6292
publishDate 2021-07-01
description Non-coronary cusp (NCC) is a rare site for ventricular arrhythmias because it does not come into direct contact with the ventricular myocardium. Instead, the NCC comes in contact with the membranous septum near the His region. We describe a case of a young man with a ventricular ectopy who was successfully ablated in the NCC. In our case the much greater prematurity in the NCC than in the His region suggests that the arrhythmic site of origin is not in the peri-His area but most likely a myocardial extension adjoining the aortic root.
topic Non-coronary cusp
Ventricular ectopy
Catheter ablation
Aortic root
Myocardial extensions
url http://www.sciencedirect.com/science/article/pii/S0972629221000590
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