[Acute myocardial infarction complicating radiofrequency catheter ablation in a girl].
Paroxysmal supraventricular tachycardia is the most common tachyarrhythmia in childhood and adolescence. The current treatment of choice for managing and preventing frequent recurrences is radiofrequency catheter ablation, which provides a definitive solution in most cases. This technique is very effective but not devoid of potential complications, particularly in children and adolescents. We report the case of a 3-year-old girl who suffered acute myocardial infarction after occlusion of the right coronary artery during this procedure. We describe intraoperative and postoperative management. Progress was good and the patient was discharged 14 days after ablation.
Redondo
F J
FJ
Servicio de Anestesiología y Reanimación, Hospital General de Ciudad Real, Ciudad Real.
Sanabria
P
P
Valladares
G
G
Rodríguez
E
E
Alday
E
E
Madrazo
M
M
Benito
F
F
D016887:Cardiopulmonary Resuscitation; D002316:Cardiotonic Agents / Q000627:therapeutic use; D017115:Catheter Ablation / Q000009:adverse effects*; D002675:Child, Preschool; D003131:Combined Modality Therapy; D003331:Coronary Vessels / Q000293:injuries*; D004280:Dobutamine / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007022:Hypotension / Q000209:etiology; D007431:Intraoperative Complications / Q000209:etiology*; D009203:Myocardial Infarction / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000628:therapy; D005996:Nitroglycerin / Q000627:therapeutic use; D011183:Postoperative Complications / Q000209:etiology; D013614:Tachycardia, Paroxysmal / Q000601:surgery*; D013617:Tachycardia, Supraventricular / Q000601:surgery*; D014665:Vasodilator Agents / Q000627:therapeutic use
D002316:Cardiotonic Agents; D014665:Vasodilator Agents; D004280:Dobutamine; D005996:Nitroglycerin