Document Detail

Radiofrequency catheter ablation in a haemodynamically compromised premature neonate with hydrops fetalis.
MedLine Citation:
PMID:  10457304     Owner:  NLM     Status:  MEDLINE    
A preterm infant was born at 35 weeks gestation after failed antenatal antiarrhythmic therapy. The infant had an incessant supraventricular tachycardia, impaired ventricular function and hypotension and failed to respond to adenosine, cardioversion and intravenous amiodarone. After resuscitation from cardiovascular collapse, a successful radiofrequency catheter ablation (RFA) of a left free wall atrioventricular pathway was performed at 24 h of age without extracorporeal support. The infant is normal on follow up at 12 months of age. Whilst most fetal and neonatal supraventricular tachyarrhythmias respond to antiarrhythmic medications and RFA is not required, this is the earliest RFA to be performed on a premature infant when antiarrhythmics have failed.
D A Osborn; K C Lau; J B Uther; H Coughtrey; M J Rochefort
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of paediatrics and child health     Volume:  35     ISSN:  1034-4810     ISO Abbreviation:  J Paediatr Child Health     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-09-08     Completed Date:  1999-09-08     Revised Date:  2007-09-24    
Medline Journal Info:
Nlm Unique ID:  9005421     Medline TA:  J Paediatr Child Health     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  406-8     Citation Subset:  IM    
Neonatal Intensive Care Unit, Westmead Hospital, Westmead, Australia.
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MeSH Terms
Catheter Ablation*
Heart Arrest / complications,  surgery*
Hydrops Fetalis / complications*
Hypotension / complications,  surgery
Infant, Newborn
Infant, Premature*
Tachycardia, Supraventricular / complications,  surgery*
Ventricular Dysfunction / complications,  surgery

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