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Improvement in non-tachycardia-induced cardiac failure after radiofrequency catheter ablation in a child with a right-sided accessory pathway

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Abstract

A 6-year-old boy was referred for an evaluation of intolerance to physical activity at his elementary school. The patient had no episodes of palpitations. He was diagnosed as Wolff-Parkinson-White syndrome with a right-sided accessory pathway (AP) and dilated cardiomyopathy (DCM). Ventricular dyskinesis was detected mostly in the ventricular septum. Because the asynchronous septal motion caused by pre-excitation through a right-sided AP might deteriorate his cardiac function, he underwent an AP ablation, after which the asynchronous ventricular wall motion disappeared and the wall thickness improved. We suggest that an AP ablation may be the treatment of first priority in patients who have DCM-like dyskinesis even without sustained tachyarrhythmias.

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Acknowledgments

The authors thank Mr. John Martin for his linguistic assistance with this article.

Conflict of interest

None declared.

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Authors and Affiliations

  1. Department of Pediatrics, Juntendo University Faculty of Medicine, Tokyo, Japan

    Hideo Fukunaga, Katsumi Akimoto, Takeshi Furukawa, Ken Takahashi, Masahiko Kishiro & Toshiaki Shimizu

  2. Department of Pediatrics and Child Health, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi-ku, Tokyo, 173-8610, Japan

    Hiroshi Kamiyama & Naokata Sumitomo

Authors
  1. Hideo Fukunaga
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  2. Katsumi Akimoto
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  3. Takeshi Furukawa
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  4. Ken Takahashi
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  5. Masahiko Kishiro
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  6. Toshiaki Shimizu
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  7. Hiroshi Kamiyama
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  8. Naokata Sumitomo
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Corresponding author

Correspondence to Naokata Sumitomo.

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Fukunaga, H., Akimoto, K., Furukawa, T. et al. Improvement in non-tachycardia-induced cardiac failure after radiofrequency catheter ablation in a child with a right-sided accessory pathway. Heart Vessels 28, 802–807 (2013). https://doi.org/10.1007/s00380-013-0322-5

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  • DOI: https://doi.org/10.1007/s00380-013-0322-5

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