Successful cryoablation of atrioventricular nodal reentrant tachycardia in a child with hemophilia A.
We report the hematologic and invasive electrophysiologic management of a 12-year-old boy with mild hemophilia A (factor VIII deficiency) and atrioventricular nodal reentrant tachycardia. Thoughtful preparation with detailed input from the patient's comprehensive hemophilia center combined with vigilant pericatheterization hematologic management allowed for safe and successful cryoablation of this arrhythmia. Strategies for the management of patients with bleeding disorders who require invasive cardiac catheterization or surgery are reviewed.
DeWitt
Elizabeth S
ES
Pediatric Arrhythmia Service, Division of Pediatric Cardiology, Department of Pediatrics, The Children's Hospital at Montefiore, Bronx, NY 10467-2490, USA.
DiMichele
Donna M
DM
Larsen
Karen
K
Pass
Robert H
RH
D002648:Child; D003452:Cryosurgery; D004562:Electrocardiography; D004594:Electrophysiology; D006467:Hemophilia A / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D011379:Prognosis; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000209:etiology / Q000628:therapy*