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Updated: May 4, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Two causes of ventricular tachycardia in a 26 year-old male
Janarthanan Sathananthan1, Ruvin Gabriel1, Patrick Kay1
1Middlemore Hospital, Counties Manukau District Health Board, Auckland, New Zealand.
Abstract:
We present the case of a 26 year-old man who presented to hospital with monomorphic ventricular tachycardia (VT) at a rate of 170bpm after exercising on a treadmill. Multimodality imaging with transthoracic echocardiogram (TTE), cardiac magnetic resonance imaging (CMRI) and computed tomography coronary angiogram (CTCA) demonstrated two causes for ventricular tachycardia; hypertrophic cardiomyopathy (HCM) and an anomalous right coronary artery (RCA) arising from the left coronary sinus, with a potentially malignant interarterial course. Both conditions can be associated with sudden cardiac death (SCD). We discuss the management dilemmas in this unique patient.
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