Epicardial Ablation of Persistent Junctional Reciprocating Tachycardia in an Infant With Tachycardia-Induced Cardiomyopathy

Epicardial Ablation of Persistent Junctional Reciprocating Tachycardia in an Infant With Tachycardia-Induced Cardiomyopathy

A 3-month-old infant who developed persistent junctional reciprocating tachycardia (PJRT)–induced cardiomyopathy that was successfully treated with radiofrequency ablation. To our knowledge this is the youngest reported patient with a successful epicardial lesion placed in a diverticulum off the cor...

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Bibliographic Details
Main Authors: Keore McKenzie, APRN, Sunita J. Ferns, MD
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:JACC: Case Reports
Subjects:
epicardial ablation
incessant SVT
infant ablation
PJRT
tachycardia-induced cardiomyopathy
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084921001297
Description
Summary:A 3-month-old infant who developed persistent junctional reciprocating tachycardia (PJRT)–induced cardiomyopathy that was successfully treated with radiofrequency ablation. To our knowledge this is the youngest reported patient with a successful epicardial lesion placed in a diverticulum off the coronary sinus and also the first report of a PJRT connection located at an epicardial site distinct from the mitral and tricuspid valve annulus. We use this case to highlight how low-power lesions in the coronary sinus in the youngest of patients can achieve results safely. (Level of Difficulty: Advanced.)
ISSN:2666-0849

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