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Successful use of intravenous amiodarone in a child with combined postoperative junctional and ectopic tachycardias

Published online by Cambridge University Press:  01 August 2009

Mehmet Karacan ,
Haşim Olgun  and
Necip Becit
Mehmet Karacan*
Affiliation:
Division of Pediatric Cardiology
Haşim Olgun
Affiliation:
Division of Pediatric Cardiology
Necip Becit
Affiliation:
Department of Cardiovascular Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey
*
Correspondence to: Mehmet Karacan, MD, Solakzade Mh. Mevlana Cd. Şark 2000 Yapı, Koop. C Blok No. 3, Yenişehir, Erzurum, Turkey. Tel: 90 442 31716 90 (home); 90 442 2316849 (work); 90 533 567 82 86 (cellular); Fax: 90 442 2361301; E-mail: mehmet.karacan@gmail.com
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Abstract

Early postoperative arrhythmias are a known complication of cardiac surgery. It is unusual, however, to encounter postoperative junctional and ectopic atrial tachycardias in the same patient. We describe our experience with a 2-year-old girl who suffered both these tachycardias after repair of a ventricular septal defect, the abnormal rhythms being controlled solely with intravenous administration of amiodarone.

Keywords

Postoperativearrhythmiasamiodaronecongenital heart surgery
Type
Brief Reports
Information
Cardiology in the Young , Volume 19 , Issue 4 , August 2009 , pp. 407 - 409
Copyright
Copyright © Cambridge University Press 2009

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References

1.Delaney, JW, Moltedo, JM, Dziura, JD, Kopf, GS, Snyder, CS. Early postoperative arrhythmias after pediatric cardiac surgery. J Thorac Cardiovasc Surg 2006; 131: 1296–1300.CrossRefGoogle ScholarPubMed
2.Rekawek, J, Kansy, A, Miszczak-Knecht, M, et al. Risk factors for cardiac arrhythmias in children with congenital heart disease after surgical intervention in the early postoperative period. J Thorac Cardiovasc Surg 2007; 133: 900–904.CrossRefGoogle ScholarPubMed
3.Gillette, PC. Diagnosis and management of postoperative junctional ectopic tachycardia. Am Heart J 1989; 118: 192–194.CrossRefGoogle ScholarPubMed
4.Andreasen, JB, Johnsen, SP, Ravn, HB. Junctional ectopic tachycardia after surgery for congenital heart disease in children. Intensive Care Med 2008; 34: 895–902.CrossRefGoogle ScholarPubMed
5.Plumpton, K, Justo, R, Haas, N. Amiodarone for post-operative junctional ectopic tachycardia. Cardiol Young 2005; 15: 13–18.CrossRefGoogle ScholarPubMed
6.Haas, NA, Plumpton, K, Justo, R, Jalali, H, Pohlner, P. Postoperative junctional ectopic tachycardia. Z Kardiol 2004; 93: 371–380.CrossRefGoogle ScholarPubMed
7.Case, CL, Gillette, PC. Automatic atrial and junctional tachycardia in the pediatric patient: strategies for diagnosis and management. PACE 1993; 16: 1323–1335.CrossRefGoogle ScholarPubMed
8.Rosales, AM, Walsh, EP, Wessel, DL, Triedman, JK. Postoperative ectopic atrial tachycardia in children with congenital heart disease. Am J Cardiol 2001; 88: 1169–1172.CrossRefGoogle ScholarPubMed
9.Perry, JC, Fenrich, AL, Hulse, JE, Triedman, JK, Friedman, RA, Lamberti, JJ. Pediatric use of intravenous amiodarone: efficacy and safety in critically ill patients from a multicenter protocol. J Am Coll Cardiol 1996; 27: 1246–1250.CrossRefGoogle ScholarPubMed
10.Haas, NA, Fox, S, Skinner, JR. Successful use of an intravenous infusion of flecainide and amiodarone for a refractory combination of postoperative junctional and ectopic tachycardias. Cardiol Young 2005; 15: 427–430.CrossRefGoogle ScholarPubMed