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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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
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spelling doaj-6001bfda675c42c991b938c0333582fb2021-06-07T07:06:54ZengElsevierJACC: Case Reports2666-08492021-03-0133512516Epicardial Ablation of Persistent Junctional Reciprocating Tachycardia in an Infant With Tachycardia-Induced CardiomyopathyKeore McKenzie, APRN0Sunita J. Ferns, MD1Department of Pediatrics, University of Florida School of Medicine, Jacksonville, Florida, USAAddress for correspondence: Dr. Sunita J Ferns, Department of Medicine, University of Florida School of Medicine, 841 Prudential Drive, Jacksonville, Florida 32217, USA.; Department of Pediatrics, University of Florida School of Medicine, Jacksonville, Florida, USAA 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.)http://www.sciencedirect.com/science/article/pii/S2666084921001297epicardial ablationincessant SVTinfant ablationPJRTtachycardia-induced cardiomyopathy
collection DOAJ
language English
format Article
sources DOAJ
author Keore McKenzie, APRN
Sunita J. Ferns, MD
spellingShingle Keore McKenzie, APRN
Sunita J. Ferns, MD
Epicardial Ablation of Persistent Junctional Reciprocating Tachycardia in an Infant With Tachycardia-Induced Cardiomyopathy
JACC: Case Reports
epicardial ablation
incessant SVT
infant ablation
PJRT
tachycardia-induced cardiomyopathy
author_facet Keore McKenzie, APRN
Sunita J. Ferns, MD
author_sort Keore McKenzie, APRN
title Epicardial Ablation of Persistent Junctional Reciprocating Tachycardia in an Infant With Tachycardia-Induced Cardiomyopathy
title_short Epicardial Ablation of Persistent Junctional Reciprocating Tachycardia in an Infant With Tachycardia-Induced Cardiomyopathy
title_full Epicardial Ablation of Persistent Junctional Reciprocating Tachycardia in an Infant With Tachycardia-Induced Cardiomyopathy
title_fullStr Epicardial Ablation of Persistent Junctional Reciprocating Tachycardia in an Infant With Tachycardia-Induced Cardiomyopathy
title_full_unstemmed Epicardial Ablation of Persistent Junctional Reciprocating Tachycardia in an Infant With Tachycardia-Induced Cardiomyopathy
title_sort epicardial ablation of persistent junctional reciprocating tachycardia in an infant with tachycardia-induced cardiomyopathy
publisher Elsevier
series JACC: Case Reports
issn 2666-0849
publishDate 2021-03-01
description 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.)
topic epicardial ablation
incessant SVT
infant ablation
PJRT
tachycardia-induced cardiomyopathy
url http://www.sciencedirect.com/science/article/pii/S2666084921001297
work_keys_str_mv AT keoremckenzieaprn epicardialablationofpersistentjunctionalreciprocatingtachycardiainaninfantwithtachycardiainducedcardiomyopathy
AT sunitajfernsmd epicardialablationofpersistentjunctionalreciprocatingtachycardiainaninfantwithtachycardiainducedcardiomyopathy
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