Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-28T00:56:17.107Z Has data issue: false hasContentIssue false

Chaotic atrial tachycardia-related ventricular fibrillation in a 2-month-old baby with Wolff-Pakinson-White syndrome

Published online by Cambridge University Press:  04 March 2010

Jae K. Ko*
Affiliation:
Division of Pediatric Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Young H. Kim
Affiliation:
Division of Pediatric Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
In S. Park
Affiliation:
Division of Pediatric Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
*
Correspondence to: Jae Kon Ko, MD, Division of Pediatric Cardiology, University of Ulsan College of Medicine, Asan Medical Center, 388-1 Pungnap-2dong, Songpa-gu, Seoul 138-736, Korea. Tel: 82 2 3010 3375; Fax: 82 2 473 3725; E-mail: [email protected]

Abstract

A 2-month-old baby was resuscitated from ventricular fibrillation attributed to a concurrent chaotic atrial tachycardia with Wolff-Parkinson-White syndrome. He underwent successful radiofrequency catheter ablation of an accessory pathway. Throughout the 4-year follow-up after the procedure, the boy remained free of any drugs, was in sinus rhythm without ventricular pre-excitation and his growth and development were normal.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Klein, GJ, Bashore, TM, Sellers, TD, Pritchett, EL, Smith, WM, Gallagher, JJ. Ventricular fibrillation in the Wolff-Parkinson-White syndrome. N Engl J Med 1979; 301: 10801085.CrossRefGoogle ScholarPubMed
2.Bradley, DJ, Fischbach, PS, Law, IH, Serwer, GA, Dick, M. The clinical course of multifocal atrial tachycardia in infants and children. J Am Coll Cardiol 2001; 38: 401408.CrossRefGoogle ScholarPubMed
3.Vignati, G, Balla, E, Mauri, L, Lunati, M, Figini, A. Clinical and electrophysiologic evolution of the Wolff-Parkinson-White syndrome in children: impact on approaches to management. Cardiol Young 2000; 10: 367375.CrossRefGoogle ScholarPubMed
4.Dodo, H, Gow, RM, Hamilton, RM, Freedom, RM. Chaotic atrial rhythm in children. Am Heart J 1995; 129: 990995.CrossRefGoogle ScholarPubMed
5.Fish, FA, Mehta, AV, Johns, JA. Characteristics and management of chaotic atrial tachycardia of infancy. Am J Cardiol 1996; 78: 10521055.CrossRefGoogle ScholarPubMed
6.Bevilacqua, LM, Rhee, EK, Epstein, MR, Triedman, JK. Focal ablation of chaotic atrial rhythm in an infant with cardiomyopathy. J Cardiovasc Electrophysiol 2000; 11: 577581.CrossRefGoogle Scholar
7.Haïssaguerre, M, Jaïs, P, Shah, DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med 1998; 339: 659666.CrossRefGoogle ScholarPubMed