Korean Circ J.  2010 Sep;40(9):471-474. 10.4070/kcj.2010.40.9.471.

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

• Jhang WK
• Lee SC
• Seo DM
• Park JJ

• KMID: 1456142
• DOI: http://doi.org/10.4070/kcj.2010.40.9.471

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.

Keyword

Extracorporeal membrane oxygenation; Arrhythmia

MeSH Terms

Arrhythmias, Cardiac
Extracorporeal Membrane Oxygenation
Heart Diseases
Humans
Thoracic Surgery

Figure

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  Fig. 1 Tachyarrhythmia EKG of the three patients. A: EKG tracing of case 1 showing ectopic atrial tachycadia which was not terminated by transesophageal overdive atrial pacing. B: EKG from holter monitoring of case 2. Narrow QRS tachycardia with several different P waves that indicates chaotic atrial tachycardia. C: lead II from EKG tracing of case 3. Narrow QRS complex with atrioventricular dissociation that present junctional ectopic tachycardia. EKG: electrocardiogram.

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