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Chinese Journal of Heart and Heart Rhythm(Electronic Edition) ›› 2026, Vol. 14 ›› Issue (01): 24-27. doi: 10.3877/cma.j.issn.2095-6568.2026.01.004

• Pulsed Field Ablation • Previous Articles    

A case of pulsed field ablation for ventricular premature contractions originating from the anterior papillary muscle of the left ventricle ablated

Zhiwei Ai1, Chunchang Qin1,(), Gang Yang2, Changlun Ye2, Qin Wang2   

  1. 1Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400000, China
    2Department of Cardiology, Jiangsu People's Hospital Chongqing Hospital (Qijiang People's Hospital), Chongqing 400800, China
  • Received:2026-01-14 Online:2026-03-25 Published:2026-04-24
  • Contact: Chunchang Qin

Abstract:

Premature ventricular contraction (PVC) is a commonly encountered clinical arrhythmia, for which radiofrequency catheter ablation is a first-line treatment. The success rate of ablation therapy is highly dependent on the site of PVC origin. Papillary muscles, characterized by their columnar anatomical structure within the ventricles, exhibit inherent anatomical variations that often lead to challenges in achieving stable catheter contact, thereby increasing the complexity of radiofrequency ablation procedures. Pulsed-field ablation (PFA), as an emerging ablation modality, not only offers favorable tissue selectivity and safety profiles but also demonstrates ablation depth that is not solely dependent on contact force. Currently, reports on PFA for the treatment of PVCs remain scarce. This article presents a case of PVCs originating from the anterior papillary muscle of the left ventricle that were successfully treated with pulse field ablation.

Key words: Catheter ablation, Left ventricle, Papillary muscle, Ventricular premature contraction, Pulsed field ablation, Radiofrequency ablation

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