Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-10T08:59:56.126Z Has data issue: false hasContentIssue false

Successful radiofrequency ablation in an infant with drug-resistant permanent junctional reciprocating tachycardia

Published online by Cambridge University Press:  19 August 2008

Edgar Jaeggi*
Affiliation:
Adolpb Basser Cardiac Institute, Royal Alexandra Hospital for Children, University of Sydney, New South Wales, Australia
Kai-Chiu Lau
Affiliation:
Adolpb Basser Cardiac Institute, Royal Alexandra Hospital for Children, University of Sydney, New South Wales, Australia
Stephen G. Cooper
Affiliation:
Adolpb Basser Cardiac Institute, Royal Alexandra Hospital for Children, University of Sydney, New South Wales, Australia
*
Edgar Jaeggi, MD, Pediatric Cardiology, University Children's Hospital, 6, rue Willy-Donzé, CH-1211 Geneva 14, Switzerland. Tel: +41 22 372 3311; Fax: +41 22 382 4624; E-mail: Edgar.Jaeggi@hcuge.ch

Abstract

Over the past decade, the technique of radiofrequency ablation has evolved substantially. Currently, most forms of cardiac arrhythmias seen in children can be treated with good long-term results and low risk of adverse outcome. Curative arrhythmia treatment with this technique, however, is still uncommon in neonates and infants. Reported here is our experience in the management of an 8-week-old with drug-resistant permanent junctional reciprocating tachycardia.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Gaita, R, Haissaguerre, M, Giustetto, C, Fischer, B, Riccardi, R, Richiardi, E, Scaglione, M, Lamberd, F, Warin, JF. Catheter ablation of permanent junctional reciprocating tachycardia with radiofrequency current. J Am Coll Cardiol 1995; 25: 648654.CrossRefGoogle ScholarPubMed
2.Cruz, FES, Cheriex, EC, Smeets, JLRM, Atie, J, Peres, AK, Penn, OCKM, Brugada, R, Wellens, HJJ. Reversibility of tachycardia-induced cardiomyopathy after cure of incessant supraventricular tachycardia. J Am Coll Cardiol 1990; 16: 739744.CrossRefGoogle ScholarPubMed
3.Sanchez, C, Benito, F, Moreno, F. Reversibility of tachycardia-induced cardiomyopathy after radiofrequency ablation of incessant supraventricular tachycardia in infants. Br Heart J 1995; 74: 332333.Google ScholarPubMed
4.Case, CL, Gillette, PC, Oslizlok, PC, Knick, BJ, Blair, HL. Radiofrequency ablation of incessant, medically resistant supraventricular tachycardia in infants and small children. J Am Coll Cardiol 1992; 20: 14051410.CrossRefGoogle ScholarPubMed
5.Dick, M II, O'Connor, BK, Serwer, GA, LeRoy, S, Armstrong, B. Use of radiofrequency current to ablate accessory connections in children. Circulation 1991; 84: 23182324.CrossRefGoogle ScholarPubMed
6.Kugler, JD, Danford, DA, Deal, BJ, Gillette, PC, Perry, JC, Silka, MJ, Vam Hare, GF, Walsh, EP, participating members of the Pediatric Electrophysiology Society. Radiofrequency catheter ablation in children and adolescents. N Engl J Med 1994; 330: 14811487.CrossRefGoogle Scholar
7.Erickson, CC, Walsh, EP, Triedman, JK, Saul, JP. Efficacy and safety of radiofrequency ablation in infants and young children < 18 months of age. Am J Cardiol 1994; 74: 944947.CrossRefGoogle ScholarPubMed
8.Dorostkar, P, Dick, M II, Serwer, G, Silka, M. Clinical course of persistent junctional reciprocating tachycardia. PACE 1993; 16: 878 (abstr).Google Scholar
9.Saul, JP, Hulse, JE, Walsh EP Late enlargement of radiofrequency lesions in infant lambs: implications for ablation procedures in small children. Circulation 1994; 90: 492499.CrossRefGoogle ScholarPubMed