通过射频导管消融成功控制婴儿危及生命的多形性室性心动过速。
Successful control of life-threatening polymorphic ventricular tachycardia by radiofrequency catheter ablation in an infant.
作者信息
Abe Yuriko, Sumitomo Naokata, Okuma Hiromi, Nakamura Takahiro, Fukuhara Junji, Ichikawa Rie, Matsumura Masaharu, Miyashita Michio, Kamiyama Hiroshi, Ayusawa Mamoru, Watanabe Mamie, Joo Kunitaka, Makita Naomasa, Horie Minoru
机构信息
Department of Pediatrics and Child Health, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi-ku, Tokyo, 173-8610, Japan.
出版信息
Heart Vessels. 2014 May;29(3):422-6. doi: 10.1007/s00380-013-0390-6. Epub 2013 Jul 9.
We present a case of a 9-month-old girl in whom malignant polymorphic ventricular tachycardia (VT) was successfully controlled by radiofrequency catheter ablation under guidance with a three-dimensional mapping system. The VTs originated from the left ventricular lateral wall, left ventricular anterior wall, and left ventricular apex. At least six types of VTs were documented during the electrophysiology study. All VTs were successfully controlled after two sessions of radiofrequency catheter ablation, and she was discharged from our hospital on propranolol, mexiletine, flecainide, and aprindine.
我们报告一例9个月大的女孩，在三维标测系统引导下，通过射频导管消融成功控制了恶性多形性室性心动过速（VT）。室性心动过速起源于左心室侧壁、左心室前壁和左心室心尖。在电生理研究中记录到至少六种类型的室性心动过速。经过两次射频导管消融后，所有室性心动过速均成功得到控制，她出院时服用普萘洛尔、美西律、氟卡尼和阿普林定。
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