Transcatheter cryoablation with 3-D mapping of an atrial ectopic tachycardia in a pediatric patient with tachycardia induced heart failure.
Atrial ectopic tachycardias (AET) are often resistant to medical management and can lead to a significant reduction in cardiac function. Transcatheter cryoablation, a definitive therapy, to our knowledge has yet to be described in the pediatric population. A three-year-old male presented with AET induced heart failure which persisted despite medical management. Management was complicated by worsening heart failure and propylene glycol intoxication. He underwent transcatheter cryoablation using a 3-D navigation system with an initially successful elimination of the arrhythmia. After a late recurrence (15 months) of the AET he underwent epicardial transcatheter ablation using cryotherapy with successful elimination of the arrhythmia.
Von Bergen
Nicholas H
NH
The Children's Hospital of Iowa, University of Iowa Hospitals and Clinics, Iowa City, IA 52242-1083, USA.
Abu Rasheed
Hadi
H
Law
Ian H
IH
D018780:Body Surface Potential Mapping; D017115:Catheter Ablation / Q000379:methods; D002675:Child, Preschool; D003452:Cryosurgery / Q000379:methods; D004562:Electrocardiography; D022062:Electrophysiologic Techniques, Cardiac; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D008297:Male; D013612:Tachycardia, Ectopic Atrial / Q000150:complications / Q000175:diagnosis / Q000601:surgery*