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eliminated the PVC (Figure S1). No complications occurred. Post-procedural late gadolinium-enhanced cardiac magnetic resonance imaging showed a very thick PPM with a superficial scar around the PPM, deeper scar on the septal and lateral sides, and the deepest scar in the middle of the PPM (Figure). Bipolar RFCA could be considered an option to treat papillary muscle ventricular arrhythmias when unipolar RFCA is unsuccessful likely because of a deep location of the ventricular arrhythmia origin.

circulation journal

Successful Bipolar Radiofrequency Catheter Ablation of Premature Ventricular Contractions Originating From the Left Ventricular Posterior Papillary Muscle