Radiofrequency catheter ablation offascicular ventricular tachycardia in an elderly patient with complete atrioventricular block and VDD pacemaker

Ventricular tachycardia (VT) which is not associated with any structural heart disease is known as idiopathic VT. Fascicular VT is the most common form of idiopathic VT of left ventricular origin. It is commonly seen in young patients without any structural heart disease. It is most common at the ages of 15-40 years. Fascicular VT is rarely seen in elderly patients. Radiofrequency (RF) catheter ablation is an important treatment option and offers cure in these patients. In this manuscript, we report successful RF catheter ablation of fascicular VT in a 76 years-old male patient with complete atrioventricular (AV) block and VDD pacemaker. To the best of knowledge, this case is one of oldest patients reported so far.