|A PICTURE IS WORTH A THOUSAND WORDS
|Year : 2017 | Volume
| Issue : 1 | Page : 30-31
A case of left ventricular false tendon with ventricular tachycardia
Vijaykumar Janakaloti Ramachandra Reddy, Amjad Ali, Cholenahally Nanjappa Manjunath
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Science and Research, Bengaluru, Karnataka, India
|Date of Web Publication||15-May-2017|
Sri Jayadeva Institute of Cardiovascular Science and Research, Bengaluru, Karnataka
Source of Support: None, Conflict of Interest: None
|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
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. 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.
|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|| |
Turner W. A human heart with moderator bands in the left ventricle. J Anat Physiol 1893;27:19-20.
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.
[Figure 1], [Figure 2]