A patient with mitral valve prolapse and symptomatic ventricular ectop
y underwent an electrophysiological study during which a sustained mon
omorphic ventricular tachycardia with a left bundle branch block/right
axis deviation morphology was induced. This morphology was replicated
by pace mapping at the right ventricular outflow tract. To the best o
f our knowledge, this finding has not been previously described and su
ggests that the association between ventricular arrhythmias and mitral
valve prolapse may not necessarily be causal.