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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Main Authors: Melo,Sissy Lara de, Carvalho Neto,José Nilo de, Monge,Nathalia Maria Segovia, Sousa,Italo Bruno dos Santos, Pisani,Cristiano Faria, Scanavacca,Mauricio
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Cardiologia 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472021000400490
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spelling 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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countrycode BR
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libraryname SciELO
language English
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author Melo,Sissy Lara de
Carvalho Neto,José Nilo de
Monge,Nathalia Maria Segovia
Sousa,Italo Bruno dos Santos
Pisani,Cristiano Faria
Scanavacca,Mauricio
spellingShingle 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.
publisher Sociedade Brasileira de Cardiologia
publishDate 2021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472021000400490
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