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Radiofrequency catheter ablation of multiple haemodynamically unstable ventricular tachycardias in a patient with surgically repaired tetralogy of Fallot

Published online by Cambridge University Press:  19 August 2008

John papagiannis
Affiliation:
Division of Cardiology, Department of pediatrics and Division of Cardiology
Ronald J Kanter*
Affiliation:
Division of Cardiology, Department of pediatrics and Division of Cardiology
J.Marcus Wharton
Affiliation:
Departement of Medicine, Duke univercity Medical Center, Durham, NC 27710, USA
*
Dr Ronald J. Kanter, Department of Pediatrics, Duke University Medical Center, Durham NC27710, USA. Tel: 919 681 6772, Fax: 919 681 7892

Abstract

A patient with repaired tetralogy of Fallot presented with recurrent syncope and had multiple haemodynamically unstable ventricular tachycardias unresponsive to antiarrhythmic medications.Ventricular tachycardias became haemodynamically tolerated with amiodarone, procainamide and dopamine, permitting activation and entrainment mapping. Radiofrequency ablation of three tachycardia circuits was performed. Ventricular tachycardia could not be induced 1 week, and 3 and 9 months later.Radiofrequency ablation is feasible for multiple, haemodynamically unstable ventricular tachycardias in repaired tettralogy of Fallot

Type
Brief Report
Copyright
Copyright © Cambridge University Press 1998

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