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A PICTURE IS WORTH A THOUSAND WORDS
Year : 2017  |  Volume : 18  |  Issue : 1  |  Page : 30-31  

A case of left ventricular false tendon with ventricular tachycardia


Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Science and Research, Bengaluru, Karnataka, India

Date of Web Publication15-May-2017

Correspondence Address:
Amjad Ali
Sri Jayadeva Institute of Cardiovascular Science and Research, Bengaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.206202

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How to cite this article:
Reddy VJ, Ali A, Manjunath CN. A case of left ventricular false tendon with ventricular tachycardia. Heart Views 2017;18:30-1

How to cite this URL:
Reddy VJ, Ali A, Manjunath CN. A case of left ventricular false tendon with ventricular tachycardia. Heart Views [serial online] 2017 [cited 2021 Sep 24];18:30-1. Available from: https://www.heartviews.org/text.asp?2017/18/1/30/206202

A 48-year-old lady presented to the emergency department with a history of sudden onset palpitations associated with fatigue. 12-lead electrocardiogram was suggestive of ventricular tachycardia with right bundle branch block morphology [Figure 1], patient was hemodynamically unstable so electrically cardioverted. Subsequently two-dimensional transthoracic echocardiogram revealed dilated left ventricle with moderate LV dysfunction and showing false tendon attached from LV free wall to intraventricular septum [Figure 2], which could be the focus of ventricular tachycardia in our patient.

Left ventricular (LV) false tendons were first described in 1893 by the British anatomist and surgeon Sir William Turner.[1] LV false tendons are found in about half of hearts examined at autopsy and occur with equal frequency in normal hearts and in those with congenital malformations.[2]
Figure 1: Electrocardiogram showing ventricular tachycardia with right bundle branch block morphology

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Figure 2: Apical four-chamber view with left ventricular (LV) false tendon arising from LV free wall to septum

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   References Top

1.
Turner W. A human heart with moderator bands in the left ventricle. J Anat Physiol 1893;27:19-20.  Back to cited text no. 1
[PUBMED]    
2.
Philip S, CherianKM, WuMH, LueHC. Left ventricular false tendons: Echocardiographic, morphologic, and histopathologic studies and review of the literature. Pediatr Neonatol 2011;52:279-86.  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2]


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[Pubmed] | [DOI]



 

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