Ventricular Tachycardia Following Surgical Repair of Complex Congenital Heart Disease

Publication date: Available online 19 January 2016 Source:Cardiac Electrophysiology Clinics Author(s): Sherrie Joy Baysa, Ronald J. KanterTeaser A nine year old boy with complex congenital heart disease requiring right ventricular outflow tract surgery and palpitations had inducible monomorphic ventricular tachycardia at 300 bpm by programmed ventricular stimulation. He was treated with enteral phenytoin. With a therapeutic plasma level, repeat electrophysiological study was negative for inducible ventricular tachycardia using an aggressive pacing protocol. An insertable loop recorder was implanted, and the family was prescribed an automatic external defibrillator. The decision to not place an implantable cardioverter-defibrillator was based upon anticipated need for serial cardiac MRI scans to monitor the effect of progressive outflow tract stenosis and regurgitation.
Source: Cardiac Electrophysiology Clinics - Category: Cardiology Source Type: research