Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-24T15:38:01.032Z Has data issue: false hasContentIssue false

Radiofrequency catheter ablation of multiple haemodynamically unstable ventricular tachycardias in a patient with surgically repaired tetralogy of Fallot

Published online by Cambridge University Press:  19 August 2008

John papagiannis
Affiliation:
Division of Cardiology, Department of pediatrics and Division of Cardiology
Ronald J Kanter*
Affiliation:
Division of Cardiology, Department of pediatrics and Division of Cardiology
J.Marcus Wharton
Affiliation:
Departement of Medicine, Duke univercity Medical Center, Durham, NC 27710, USA
*
Dr Ronald J. Kanter, Department of Pediatrics, Duke University Medical Center, Durham NC27710, USA. Tel: 919 681 6772, Fax: 919 681 7892

Abstract

A patient with repaired tetralogy of Fallot presented with recurrent syncope and had multiple haemodynamically unstable ventricular tachycardias unresponsive to antiarrhythmic medications.Ventricular tachycardias became haemodynamically tolerated with amiodarone, procainamide and dopamine, permitting activation and entrainment mapping. Radiofrequency ablation of three tachycardia circuits was performed. Ventricular tachycardia could not be induced 1 week, and 3 and 9 months later.Radiofrequency ablation is feasible for multiple, haemodynamically unstable ventricular tachycardias in repaired tettralogy of Fallot

Type
Brief Report
Copyright
Copyright © Cambridge University Press 1998

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.Chandar, JS, Wolff, GS, Garson, A Jr, Bell, TJ, Beder, SD, Bink-Boelkens, M, Byrum, CJ, Campbell, RM, Deal, BJ, Dick, M II, Flinn, CJ, Gaum, WE, Gillette, PC, Hordof, AJ, Kugler, JD, Porter, CJ. Walsh, EP. Ventricular arrhythmias after tetralogy of Fallot. Am J Cardiol. 1990; 65: 655661.Google Scholar
2.Burton, ME, Leon, AR. Radiofrequency ablation of right ventricular outflow tract tachycardia late after complete repair of tetralogy of Fallot using the pace mapping technique. Pacing Clin Elecrrophysiol. 1993; 16: 23192325.CrossRefGoogle ScholarPubMed
3.Goldner, BG, Cooper, R, Blau, W, Cohen, TJ. Radiofrequency catheter ablation as a primary therapy for treatment of ventricular tachycardia in a patient after repair of tetralogy of Fallot.Pacing Clin Electrophysiol. 1994; 17: 14411446.CrossRefGoogle Scholar
4.Biblo, LA, Carlson, MD. Transcatheter radiofrequency ablation of ventricular tachycardia following surgical correction of tetralogy of Fallot. Pacing Clin Electrophysiol. 1994; 17: 15561560.CrossRefGoogle ScholarPubMed
5.Ebe, K, Aizawa, Y, Satoh, M. Ventricular tachycardia with two possible exits from one reentrant circuit. Jpn Circ J. 1990; 54: 214219.CrossRefGoogle Scholar
6.Gonska, B-D, Kejiang, C, Raab, J, Eigster, G, Kreuzer, H. Radiofrequency catheter ablation of right ventricular tachycardia late after repair of congenital heart defects. Circulation. 1996; 94: 19021908.CrossRefGoogle ScholarPubMed
7.Horton, RP, Canby, RC, Kessler, DJ, Jogler, JA, Hume, A, Jessen, ME, Scott, WP, Page, RL. Ablation of ventricular tachycardia associated with tetralogy of Fallot: demonstration of bidirectional block. J Cardiology of Electrophysiol. 1997; 8: 432435.CrossRefGoogle ScholarPubMed
8.Stevenson, WG, Khan, H, Sager, P, Saxon, LA, Middlekauff, HR, Natterson, PD, Wiener, I. Identification of reentry circuit sites during catheter mapping and radiofrequency ablation of ventricular tachycardia late after myocardial infarction. Circulation. 1993; 88: 16471670.Google Scholar
9.Morady, F, Harvey, M, Kalbfleisch, SJ, El-Atassi, R, Calkins, H, Langberg, JJ. Radiofrequency catheter ablation of ventricular tachycardia in patients with coronary artery disease. Circulation 1993; 87: 363372.Google Scholar
10.Underwood, RD, Deshpande, SS, Biehl, M, Cowan, M, Akhter, M, Jazayeri, MR. Radiofrequency catheter ablation of multiple morphologies of ventricular tachycardia by targeting a singleregion of the left ventricle. J Cardiovasc Electrophysiol. 1995; 6: 10151022.CrossRefGoogle Scholar