title: Ventricular Tachycardia Following Surgical Repair of Complex Congenital Heart Disease.
abstract: A nine year old boy with complex congenital heart disease requiring right ventricular outflow tract surgery and palpitations had inducible monomorphic ventricular tachycardia at 300 bpm by programmed ventricular stimulation. He was treated with enteral phenytoin. With a therapeutic plasma level, repeat electrophysiological study was negative for inducible ventricular tachycardia using an aggressive pacing protocol. An insertable loop recorder was implanted, and the family was prescribed an automatic external defibrillator. The decision to not place an implantable cardioverter-defibrillator was based upon anticipated need for serial cardiac MRI scans to monitor the effect of progressive outflow tract stenosis and regurgitation.
authors.affiliation: Division of Cardiology, The Heart Program, Nicklaus Children's Hospital, Miami Children's Hospital Health System, 3100 Southwest 62nd Avenue, Miami, FL 33155, USA.
authors.forename: Sherrie Joy
authors.initials: SJ
authors.lastname: Baysa
authors.affiliation: Division of Cardiology, The Heart Program, Nicklaus Children's Hospital, Miami Children's Hospital Health System, 3100 Southwest 62nd Avenue, Miami, FL 33155, USA. Electronic address: Ronald.Kanter@mch.com.
authors.forename: Ronald J
authors.initials: RJ
authors.lastname: Kanter
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002648:Child; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D006801:Humans; D008297:Male; D017180:Tachycardia, Ventricular / Q000209:etiology / Q000503:physiopathology; D013771:Tetralogy of Fallot / Q000601:surgery*
keywords: Antiarrhythmic drugs; Congenital heart disease; Double-outlet right ventricle; Implantable cardioverter-defibrillator; Pulmonary atresia; Sudden cardiac death; Tetralogy of Fallot; Ventricular tachycardia