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  Indian J Med Microbiol
 

Figure 2: (a–c) Transseptal puncture and a large left ventricular apical aneurysm angiography in 45° left anterior oblique projection and 30° right anterior oblique projection respectively. I and II indicate an Agilis sheath advanced through the atrial septum and the ablation catheter located at the final target. III indicates failed to locate at the effective target via a retrograde transaortic approach as ablation catheter I did via a transseptal approach. Also seen are the catheter in the coronary sinus, the catheter in the right ventricular, a pigtail catheter (P) and the implantable defibrillator ventricular lead (D). (d) Voltage map shows with purple healthy myocardium with an amplitude >1.5 mV and with red the scar with an amplitude <0.5 mV which corresponds to a large apical left ventricular aneurysm

Figure 2: (a–c) Transseptal puncture and a large left ventricular apical aneurysm angiography in 45° left anterior oblique projection and 30° right anterior oblique projection respectively. I and II indicate an Agilis sheath advanced through the atrial septum and the ablation catheter located at the final target. III indicates failed to locate at the effective target via a retrograde transaortic approach as ablation catheter I did via a transseptal approach. Also seen are the catheter in the coronary sinus, the catheter in the right ventricular, a pigtail catheter (P) and the implantable defibrillator ventricular lead (D). (d) Voltage map shows with purple healthy myocardium with an amplitude >1.5 mV and with red the scar with an amplitude <0.5 mV which corresponds to a large apical left ventricular aneurysm