• Ann Cardiol Angeiol (Paris) · Nov 2017

    Case Reports

    Accelerated idioventricular rhythm requiring catheter ablation in a child: The dark side of a benign arrhythmia.

    • A Errahmouni, S-S Bun, D G Latcu, A Tazi-Mezalek, and N Saoudi.
    • Department of Cardiology, Princess Grace Hospital, Pasteur Avenue, Monaco. Electronic address: a.errahmouni@gmail.com.
    • Ann Cardiol Angeiol (Paris). 2017 Nov 1; 66 (5): 323-325.

    AbstractA 12 year-old boy, with no history of cardiac disease, was referred to our department for evaluation of an incessant accelerated idioventricular rhythm (AIVR) complicated with severe left ventricular (LV) dysfunction and cardiogenic shock. Extensive diagnostic work-up failed to reveal any structural heart disease. During electrophysiological study, AIVR originated from the right ventricular endocardial anterior wall and was successfully ablated using remote magnetic navigation. LV function showed complete recovery four weeks after the procedure. This case highlights a life-threatening evolution of an arrhythmia generally presented as a benign entity in children.Copyright © 2017 Elsevier Masson SAS. All rights reserved.

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