An unusual treatment of coronary injury following radiofrequency ablation in a 5-year-old child: Systemic steroid usage

Pacing Clin Electrophysiol. 2020 Nov;43(11):1404-1407. doi: 10.1111/pace.13986. Epub 2020 Aug 3.

Abstract

Radiofrequency catheter ablation (RFCA) procedure is performed for many tachyarrhythmias. We performed successful RFCA in a 5-year-old child for supraventricular tachyarrhythmia and Wolff-Parkinson-White syndrome. Acute circumflex artery (CxA) occlusion occurred due to RFCA. After percutaneous balloon angioplasty was performed into the CxA, the patient was treated with systemic steroid to resolve myocardial edema. To the best of our knowledge, systemic steroid was used first time for acute coronary artery injury related myocardial ischemia.

Keywords: acute coronary artery injury; percutaneous coronary intervention; radiofrequency catheter ablation; systemic steroid.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon, Coronary
  • Body Surface Potential Mapping
  • Catheter Ablation / adverse effects*
  • Child, Preschool
  • Echocardiography
  • Electrocardiography
  • Heart Injuries / drug therapy*
  • Heart Injuries / etiology*
  • Humans
  • Male
  • Steroids / therapeutic use*
  • Tachycardia, Supraventricular / surgery*
  • Wolff-Parkinson-White Syndrome / surgery*

Substances

  • Steroids