General Thoracic and Cardiovascular Surgery

, Volume 61, Issue 6, pp 350–352 | Cite as

Landiolol for junctional ectopic tachycardia refractory to amiodarone after pediatric cardiac surgery

  • Tomomi HasegawaEmail author
  • Yoshihiro Oshima
  • Ayako Maruo
  • Hironori Matsuhisa
  • Tasuku Kadowaki
  • Rei Noda
Case Report


Postoperative junctional ectopic tachycardia (JET) in children undergoing cardiac surgery is a serious arrhythmia that is associated with considerable morbidity and mortality. We present here a case of successful landiolol therapy for postoperative JET in a 3-month-old infant who underwent ventricular septal defect closure and right pulmonary artery plasty. His left ventricular function was poor postoperatively. The JET was refractory to amiodarone and caused severe hypotension, which was required cardiac massage. Continuous intravenous infusion of low-dose landiolol reduced the persistent JET rate immediately, and restored to sinus rhythm with stable hemodynamics.


Landiolol Junctional ectopic tachycardia Pediatric cardiac surgery 


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Copyright information

© The Japanese Association for Thoracic Surgery 2012

Authors and Affiliations

  • Tomomi Hasegawa
    • 1
    Email author
  • Yoshihiro Oshima
    • 1
  • Ayako Maruo
    • 1
  • Hironori Matsuhisa
    • 1
  • Tasuku Kadowaki
    • 1
  • Rei Noda
    • 1
  1. 1.Department of Cardiovascular SurgeryKobe Children’s HospitalKobeJapan

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