Anatomy of the Ventricular Outflow Tracts: An Electrophysiology Perspective

Clin Anat. 2024 Jan;37(1):43-53. doi: 10.1002/ca.24083. Epub 2023 Jun 19.

Abstract

Outflow tract ventricular arrhythmias are the most common type of idiopathic ventricular arrhythmia. A systematic understanding of the outflow tract anatomy improves procedural efficacy and enables electrophysiologists to anticipate and prevent complications. This review emphasizes the three-dimensional spatial relationships between the ventricular outflow tracts using seven anatomical principles. In turn, each principle is elaborated on from a clinical perspective relevant for the practicing electrophysiologist. The developmental anatomy of the outflow tracts is also discussed and reinforced with a clinical case.

Keywords: anatomy; electrophysiology; outflow tract; ventricular arrhythmias.

Publication types

  • Review

MeSH terms

  • Arrhythmias, Cardiac*
  • Catheter Ablation* / methods
  • Electrocardiography / methods
  • Electrophysiology
  • Heart Ventricles
  • Humans