Successful control of life-threatening polymorphic ventricular tachycardia by radiofrequency catheter ablation in an infant

Heart Vessels. 2014 May;29(3):422-6. doi: 10.1007/s00380-013-0390-6. Epub 2013 Jul 9.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Anti-Arrhythmia Agents / therapeutic use
  • Catheter Ablation*
  • Electrocardiography
  • Electrophysiologic Techniques, Cardiac
  • Female
  • Heart Rate*
  • Humans
  • Infant
  • Tachycardia, Ventricular / diagnosis
  • Tachycardia, Ventricular / physiopathology
  • Tachycardia, Ventricular / surgery*
  • Treatment Outcome

Substances

  • Anti-Arrhythmia Agents