Successful management of junctional tachycardia by hypothermia after a Fontan operation.
We report herein the findings of a 2-year-old boy in whom junctional tachycardia developed 2 days after he underwent a modified Fontan operation and thereafter was successfully treated by hypothermia without paralyzing and artificially ventilating the patient. Chlorpromazine was useful in achieving moderate hypothermia by surface cooling without producing any unfavorable effects associated with topical cooling.
Asou
T
T
Department of Cardiovascular Surgery, Fukuoka Children's Hospital, Japan.
Kado
H
H
Shiokawa
Y
Y
Fukae
K
K
Yasui
H
H
D002675:Child, Preschool; D002746:Chlorpromazine / Q000627:therapeutic use; D018492:Dopamine Antagonists / Q000627:therapeutic use; D018729:Fontan Procedure / Q000009:adverse effects*; D006339:Heart Rate; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D007036:Hypothermia, Induced; D008297:Male; D009466:Neuromuscular Blocking Agents; D012121:Respiration, Artificial; D013613:Tachycardia, Ectopic Junctional / Q000209:etiology / Q000628:therapy*; D014665:Vasodilator Agents / Q000627:therapeutic use
D018492:Dopamine Antagonists; D006993:Hypnotics and Sedatives; D009466:Neuromuscular Blocking Agents; D014665:Vasodilator Agents; D002746:Chlorpromazine