Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
권호 표지
DOI QR코드

DOI QR Code

Mechanical Circulatory Support to Control Medically Intractable Arrhythmias in Pediatric Patients After Cardiac Surgery

  • Jhang, Won-Kyoung (Division of Pediatric Cardiac Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Lee, Seung-Cheol (Division of Pediatric Cardiac Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Seo, Dong-Man (Division of Pediatric Cardiac Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Park, Jeong-Jun (Division of Pediatric Cardiac Surgery, Asan Medical Center, College of Medicine, University of Ulsan)
  • Received : 2010.01.03
  • Accepted : 2010.02.19
  • Published : 2010.09.30
⟨ Previous Next ⟩

Abstract

Postoperative intractable arrhythmia can result in high morbidity and mortality. This report describes our experiences using mechanical circulatory support (MCS) to control medically intractable arrhythmias in three pediatric patients with congenital heart disease (CHD), after palliative or total corrective open-heart surgery.

Keywords

References

  1. Delaney JW, Moltedo JM, Dziura JD, Kopf GS, Snyder CS. Early postoperative arrhythmias after pediatric cardiac surgery. J Thorac Cardiovasc Surg 2006;131:1296-300. https://doi.org/10.1016/j.jtcvs.2006.02.010
  2. Lan YT, Lee JC, Wetzel G. Postopeative arrhythmia. Curr Opin Cardiol 2003;18:73-8. https://doi.org/10.1097/00001573-200303000-00001
  3. Valsangiacomo E, Schmid ER, Schupbach RW, et al. Early postoperative arrhythmias after cardiac operation in children. Ann Thorac Surg 2002;74:792-6. https://doi.org/10.1016/S0003-4975(02)03786-4
  4. Rekawek J, Kansy A, Miszczak-Knecht M, et al. Risk factors for cardiac arrhythmias in children with cogenital heart disease after surgical intervention in the early postoperative period. J Thorac Cardiovasc Surg 2007;133:900-4. https://doi.org/10.1016/j.jtcvs.2006.12.011
  5. Cohen MI, gaynor JW, Ramesh V, et al. Extracorporeal membrane oxygenation for patiens with refractory ventricular arrhythmias. J Thorac Cardiovasc Surg 1999;118:961-3. https://doi.org/10.1016/S0022-5223(99)70072-3
  6. Yildirim SV, Tokel K, Saygili B, Varan B. The incidence and risk factors of arrhythmias in the early period after cardiac surgery in pediatric paients. Turk J Pediatr 2008;50:549-53.
  7. Andreasen JB, Johnsen SP, Ravn HB. Junctional ectopic tachycardia after surgery for congenital heart disease in children. Intensive Care Med 2008;34:895-902. https://doi.org/10.1007/s00134-007-0987-2
  8. Salim MA, Case CL, Gillette PC. Chaotic atrial tachycardia in children. Am Heart J 1995;129:831-3. https://doi.org/10.1016/0002-8703(95)90339-9
  9. Gouin S, Ali S. A patient with chaotic atrial tachycardia. Pediatr Emerg Care 2003;19:95-8. https://doi.org/10.1097/00006565-200304000-00008
  10. Thourani VH, Kirshborn PM, Kanter KR, et al. Venoarterial extracorporeal memebrane oxygenation (VA-ECMO) in pediatric cardiac support. Ann Thorac Surg 2006;82:138-45. https://doi.org/10.1016/j.athoracsur.2006.02.011
  11. Kovacikova L, Hakacova N, Dobos D, Skrak P, Zahorec M. Amiodarone as a first-line therapy for postoperative junctional ectopic tachycardia. Ann Thorac Surg 2009;88:616-22. https://doi.org/10.1016/j.athoracsur.2009.04.088
  12. Haas NA, Camphausen CK. Impact of early and standardized treatment with amiodarone on therapeutic success and outcome in pediatric patients with postoperative tachyarrhythmia. J Thorac Cardiovasc Surg 2008;136:1215-22. https://doi.org/10.1016/j.jtcvs.2008.04.011
  13. Tsai FC, Wang YC, Huang YK, et al. Extracorporeal life support to terminate refractory ventricular tachycardia. Crit Care Med 2007;35: 1673-6. https://doi.org/10.1097/01.CCM.0000269030.57298.AF
  14. Park YH. Current mechanical circulatory cupoort devices for end stage heart failure. Korean Circ J 2009;39:1-10. https://doi.org/10.4070/kcj.2009.39.1.1
  15. Park JI, Jeon ES. Mechanical circulatory supports in the treatment of fulminant myocarditis. Korean Circ J 2005;35:563-72. https://doi.org/10.4070/kcj.2005.35.8.563
  16. Walker GM, McLeod K, Brown KL, Franklin O, Goldman AP, Davis C. Extracorporeal life support as a treatment of supraventricular tachycardia in infants. Pediatr Crit Care Med 2003;4:52-4. https://doi.org/10.1097/00130478-200301000-00010
  17. Darst JR, Kaufman J. Case report: an infant with congenital junctional ectopic tachycardia requiring extracorporeal mechanical oxygenation. Curr Opin Pediatr 2007;19:597-600. https://doi.org/10.1097/MOP.0b013e3282f11f55
  18. Shin JS, Lee SW, Han GS, Jo WM, Choi SH, Hong YS. Successful extracorporeal life support in cardiac arrest with recurrent ventricular fibrillation unresponsive to standard cardiopulmonary resuscitation. Resuscitation 2007;73:309-13. https://doi.org/10.1016/j.resuscitation.2006.09.011
  19. Shinn SH, Lee YT, Sung K, et al. Efficacy of emergent percutaneous cardiopulmonary support in cardiac or respiratory failure: fight or flight? Interact Cardiovasc Thorac Surg 2009;9:269-73. https://doi.org/10.1510/icvts.2008.194860

Cited by

  1. A new method of ECG feature detection based on combined wavelet transform for u-health service vol.1, pp.2, 2010, https://doi.org/10.1007/s13534-011-0016-9
  2. Auto-detection of R wave in ECG (electrocardiography) for patch-type ECG remote monitoring system vol.1, pp.3, 2010, https://doi.org/10.1007/s13534-011-0029-4
  3. Radiofrequency Ablation of a Left Atrial Appendage Tachycardia on ECMO Support vol.2013, pp.None, 2010, https://doi.org/10.1155/2013/203241