Errahmouni A, Bun S-S, Latcu D G, Tazi-Mezalek A, Saoudi N
Department of Cardiology, Princess Grace Hospital, Pasteur Avenue, Monaco.
Department of Cardiology, Princess Grace Hospital, Pasteur Avenue, Monaco.
Ann Cardiol Angeiol (Paris). 2017 Nov;66(5):323-325. doi: 10.1016/j.ancard.2017.09.002. Epub 2017 Oct 10.
A 12 year-old boy, with no history of cardiac disease, was referred to our department for evaluation of an incessant accelerated idioventricular rhythm (AIVR) complicated with severe left ventricular (LV) dysfunction and cardiogenic shock. Extensive diagnostic work-up failed to reveal any structural heart disease. During electrophysiological study, AIVR originated from the right ventricular endocardial anterior wall and was successfully ablated using remote magnetic navigation. LV function showed complete recovery four weeks after the procedure. This case highlights a life-threatening evolution of an arrhythmia generally presented as a benign entity in children.
一名12岁男孩，无心脏病史，因持续性加速性室性自主心律（AIVR）合并严重左心室（LV）功能障碍及心源性休克转诊至我科。全面的诊断检查未发现任何结构性心脏病。在电生理研究中，AIVR起源于右心室心内膜前壁，并使用远程磁导航成功消融。术后四周左心室功能完全恢复。该病例突出了一种通常在儿童中表现为良性疾病的心律失常的危及生命的演变过程。
