Confusion in a patient with premature ventricular complexes originating in the left ventricular summit
Blerim Luani1, Alexander Schmeisser2, Marcus Wiemer1
1Department of Cardiology, Johannes Wesling University Hospital, Ruhr-University Bochum, Hans Nolte Str. 1, Minden 32429, Germany.
Background:
Premature ventricular complexes (PVCs) originating in the ventricular outflow tracts are mostly of benign character.
Case Summary:
We describe a rare case of pulmonary hypertension with severe hypoxaemia and confusion caused by a significant mitral regurgitation (MR) during PVC originating in the left ventricle summit. After successful PVC ablation, all above-mentioned clinical parameters had normalized.
Discussion:
Premature ventricular complexes originating in the outflow tracts should be considered as a potential though rare cause of severe MR and pulmonary hypertension.
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