Ventricular ectopy from the non-coronary cusp: Pathophysiological and anatomical considerations

Panagiotis Ioannidis, Evangelia Christoforatou, Theodoros Zografos, Konstantinos Kouvelas, Andreas Tsoumeleas, Sotirios Floros, Theodora Kappou, Charalambos Vassilopoulos
2021 Indian Pacing and Electrophysiology Journal  
Non-coronary cusp (NCC) is a rare site for ventricular arrhythmias because it does not come into direct contact with the ventricular myocardium. Instead, the NCC comes in contact with the membranous septum near the His region. We describe a case of a young man with a ventricular ectopy who was successfully ablated in the NCC. In our case the much greater prematurity in the NCC than in the His region suggests that the arrhythmic site of origin is not in the peri-His area but most likely a myocardial extension adjoining the aortic root.
doi:10.1016/j.ipej.2021.04.005 pmid:33887363 fatcat:t3eadeo3bvgcfpy7qqcgs5c2v4