Catheter Ablation in Neonate with Heart Failure Due to Incessant Atrioventricular Reentrant Tachycardia
Abstract The atrioventricular (AV) reentrant tachycardia (AVRT) is the most common cause of supraventricular tachycardia (SVT) in the young pediatric population. Some newborns might present with congestive heart failure and require interventional treatment. Catheter ablation in small infants (<6 months and <5 kg) is still poorly performed and controversial due to high complications rate in this group of patients.1 We report a case of a 28 days old infant (3,5 kg) with a drug-refractory left accessory pathway mediated tachycardia and severe hemodynamic compromise, who underwent catheter ablation. Radiofrequency ablation should be part of the therapeutic arsenal in a context of drug-resistant supraventricular tachycardia with hemodynamic compromise, despite the greater risks of complications in this special population.
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Sociedade Brasileira de Cardiologia
2021
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oai:scielo:S2359-564720210004004902022-02-02Catheter Ablation in Neonate with Heart Failure Due to Incessant Atrioventricular Reentrant TachycardiaMelo,Sissy Lara deCarvalho Neto,José Nilo deMonge,Nathalia Maria SegoviaSousa,Italo Bruno dos SantosPisani,Cristiano FariaScanavacca,Mauricio Newborn Supraventricular Tachycardia Heart Failure Catheter ablation Abstract The atrioventricular (AV) reentrant tachycardia (AVRT) is the most common cause of supraventricular tachycardia (SVT) in the young pediatric population. Some newborns might present with congestive heart failure and require interventional treatment. Catheter ablation in small infants (<6 months and <5 kg) is still poorly performed and controversial due to high complications rate in this group of patients.1 We report a case of a 28 days old infant (3,5 kg) with a drug-refractory left accessory pathway mediated tachycardia and severe hemodynamic compromise, who underwent catheter ablation. Radiofrequency ablation should be part of the therapeutic arsenal in a context of drug-resistant supraventricular tachycardia with hemodynamic compromise, despite the greater risks of complications in this special population.info:eu-repo/semantics/openAccessSociedade Brasileira de CardiologiaInternational Journal of Cardiovascular Sciences v.34 n.4 20212021-08-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472021000400490en10.36660/ijcs.20200015 |
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Melo,Sissy Lara de Carvalho Neto,José Nilo de Monge,Nathalia Maria Segovia Sousa,Italo Bruno dos Santos Pisani,Cristiano Faria Scanavacca,Mauricio |
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Melo,Sissy Lara de Carvalho Neto,José Nilo de Monge,Nathalia Maria Segovia Sousa,Italo Bruno dos Santos Pisani,Cristiano Faria Scanavacca,Mauricio Catheter Ablation in Neonate with Heart Failure Due to Incessant Atrioventricular Reentrant Tachycardia |
author_facet |
Melo,Sissy Lara de Carvalho Neto,José Nilo de Monge,Nathalia Maria Segovia Sousa,Italo Bruno dos Santos Pisani,Cristiano Faria Scanavacca,Mauricio |
author_sort |
Melo,Sissy Lara de |
title |
Catheter Ablation in Neonate with Heart Failure Due to Incessant Atrioventricular Reentrant Tachycardia |
title_short |
Catheter Ablation in Neonate with Heart Failure Due to Incessant Atrioventricular Reentrant Tachycardia |
title_full |
Catheter Ablation in Neonate with Heart Failure Due to Incessant Atrioventricular Reentrant Tachycardia |
title_fullStr |
Catheter Ablation in Neonate with Heart Failure Due to Incessant Atrioventricular Reentrant Tachycardia |
title_full_unstemmed |
Catheter Ablation in Neonate with Heart Failure Due to Incessant Atrioventricular Reentrant Tachycardia |
title_sort |
catheter ablation in neonate with heart failure due to incessant atrioventricular reentrant tachycardia |
description |
Abstract The atrioventricular (AV) reentrant tachycardia (AVRT) is the most common cause of supraventricular tachycardia (SVT) in the young pediatric population. Some newborns might present with congestive heart failure and require interventional treatment. Catheter ablation in small infants (<6 months and <5 kg) is still poorly performed and controversial due to high complications rate in this group of patients.1 We report a case of a 28 days old infant (3,5 kg) with a drug-refractory left accessory pathway mediated tachycardia and severe hemodynamic compromise, who underwent catheter ablation. Radiofrequency ablation should be part of the therapeutic arsenal in a context of drug-resistant supraventricular tachycardia with hemodynamic compromise, despite the greater risks of complications in this special population. |
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Sociedade Brasileira de Cardiologia |
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2021 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472021000400490 |
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