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Successful control of life-threatening polymorphic ventricular tachycardia by radiofrequency catheter ablation in an infant

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Abstract

We present a case of a 9-month-old girl in whom malignant polymorphic ventricular tachycardia (VT) was successfully controlled by radiofrequency catheter ablation under guidance with a three-dimensional mapping system. The VTs originated from the left ventricular lateral wall, left ventricular anterior wall, and left ventricular apex. At least six types of VTs were documented during the electrophysiology study. All VTs were successfully controlled after two sessions of radiofrequency catheter ablation, and she was discharged from our hospital on propranolol, mexiletine, flecainide, and aprindine.

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

    Yuriko Abe, Naokata Sumitomo, Hiromi Okuma, Takahiro Nakamura, Junji Fukuhara, Rie Ichikawa, Masaharu Matsumura, Michio Miyashita, Hiroshi Kamiyama & Mamoru Ayusawa

  2. Department of Pediatrics, Kyushu Kousei Nenkin Hospital, Kitakyushu, Japan

    Mamie Watanabe & Kunitaka Joo

  3. Department of Molecular Physiology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan

    Naomasa Makita

  4. Department of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan

    Minoru Horie

Authors
  1. Yuriko Abe
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  2. Naokata Sumitomo
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  3. Hiromi Okuma
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  4. Takahiro Nakamura
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  5. Junji Fukuhara
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  6. Rie Ichikawa
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  7. Masaharu Matsumura
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  8. Michio Miyashita
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  9. Hiroshi Kamiyama
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  10. Mamoru Ayusawa
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  11. Mamie Watanabe
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  12. Kunitaka Joo
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  13. Naomasa Makita
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  14. Minoru Horie
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Corresponding author

Correspondence to Naokata Sumitomo.

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Abe, Y., Sumitomo, N., Okuma, H. et al. Successful control of life-threatening polymorphic ventricular tachycardia by radiofrequency catheter ablation in an infant. Heart Vessels 29, 422–426 (2014). https://doi.org/10.1007/s00380-013-0390-6

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  • DOI: https://doi.org/10.1007/s00380-013-0390-6

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