Ablation of Idiopathic Premature Ventricular Arrhythmias Originating From the Aortomitral Continuity: A Case Report.
Kadir Karacali, Ibrahim Etem Celik, Esra Varol et al.
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Case in brief
A 53-year-old female with a history of mitral valve replacement presented with frequent premature ventricular contractions (PVCs) identified on 24-hour Holter monitoring. Ablation was performed targeting PVCs originating from the aortomitral continuity (AMC) region. The procedure successfully resolved her arrhythmias, highlighting the potential for PVCs to arise from this area, particularly in patients with prior structural heart interventions.
Diagnostic / clinical pearl
Clinicians should consider the aortomitral continuity as a potential source of PVCs, especially in patients with a history of mitral valve surgery, due to possible fibrosis and scar formation.