Beyond the usual challenges, a case of LV summit PVCs ablation in child with ASO for D-TGA
Abstract Premature ventricular contractions (PVCs) are a common finding in patients with surgically repaired congenital heart defects including transposition of the great arteries (D-TGA). While often asymptomatic, PVCs can sometimes lead to palpitations, dyspnea, and hemodynamic compromise, requiri...
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| Language: | English |
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BMC
2024-12-01
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| Series: | BMC Cardiovascular Disorders |
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| Online Access: | https://doi.org/10.1186/s12872-024-04290-3 |
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| author | Mahmoud Abdelfattah Eslam Ahmed Ahmed Nasr Mostafa El Husseny Omnia Kamel |
| author_facet | Mahmoud Abdelfattah Eslam Ahmed Ahmed Nasr Mostafa El Husseny Omnia Kamel |
| author_sort | Mahmoud Abdelfattah |
| collection | DOAJ |
| description | Abstract Premature ventricular contractions (PVCs) are a common finding in patients with surgically repaired congenital heart defects including transposition of the great arteries (D-TGA). While often asymptomatic, PVCs can sometimes lead to palpitations, dyspnea, and hemodynamic compromise, requiring therapeutic intervention. The arterial switch operation is the preferred treatment for D-TGA, but these patients have a 2% incidence of ventricular arrhythmias and 1% incidence of sudden cardiac death post-operatively. Though radio-frequency ablation is an effective option for treating outflow ventricular arrhythmias, little data is available on its use in the post-arterial switch D-TGA population. This case report describes a successful catheter ablation of frequent PVCs originating from the left ventricular summit region in a 9-year-old child with a history of arterial switch repair for D-TGA and frequent monomorphic PVCs, highlighting the challenges and considerations in managing ventricular arrhythmias in this complex anatomical setting. |
| format | Article |
| id | doaj-art-11e5bff96aba42ad997c1ac7cb1666a8 |
| institution | Kabale University |
| issn | 1471-2261 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj-art-11e5bff96aba42ad997c1ac7cb1666a82025-01-05T12:08:09ZengBMCBMC Cardiovascular Disorders1471-22612024-12-012411710.1186/s12872-024-04290-3Beyond the usual challenges, a case of LV summit PVCs ablation in child with ASO for D-TGAMahmoud Abdelfattah0Eslam Ahmed1Ahmed Nasr2Mostafa El Husseny3Omnia Kamel4Magdi Yacoub Heart FoundationMagdi Yacoub Heart FoundationMagdi Yacoub Heart FoundationMagdi Yacoub Heart FoundationMagdi Yacoub Heart FoundationAbstract Premature ventricular contractions (PVCs) are a common finding in patients with surgically repaired congenital heart defects including transposition of the great arteries (D-TGA). While often asymptomatic, PVCs can sometimes lead to palpitations, dyspnea, and hemodynamic compromise, requiring therapeutic intervention. The arterial switch operation is the preferred treatment for D-TGA, but these patients have a 2% incidence of ventricular arrhythmias and 1% incidence of sudden cardiac death post-operatively. Though radio-frequency ablation is an effective option for treating outflow ventricular arrhythmias, little data is available on its use in the post-arterial switch D-TGA population. This case report describes a successful catheter ablation of frequent PVCs originating from the left ventricular summit region in a 9-year-old child with a history of arterial switch repair for D-TGA and frequent monomorphic PVCs, highlighting the challenges and considerations in managing ventricular arrhythmias in this complex anatomical setting.https://doi.org/10.1186/s12872-024-04290-3Premature ventricular complex (PVC)TGAAblationElecroanatomical mappingASO |
| spellingShingle | Mahmoud Abdelfattah Eslam Ahmed Ahmed Nasr Mostafa El Husseny Omnia Kamel Beyond the usual challenges, a case of LV summit PVCs ablation in child with ASO for D-TGA BMC Cardiovascular Disorders Premature ventricular complex (PVC) TGA Ablation Elecroanatomical mapping ASO |
| title | Beyond the usual challenges, a case of LV summit PVCs ablation in child with ASO for D-TGA |
| title_full | Beyond the usual challenges, a case of LV summit PVCs ablation in child with ASO for D-TGA |
| title_fullStr | Beyond the usual challenges, a case of LV summit PVCs ablation in child with ASO for D-TGA |
| title_full_unstemmed | Beyond the usual challenges, a case of LV summit PVCs ablation in child with ASO for D-TGA |
| title_short | Beyond the usual challenges, a case of LV summit PVCs ablation in child with ASO for D-TGA |
| title_sort | beyond the usual challenges a case of lv summit pvcs ablation in child with aso for d tga |
| topic | Premature ventricular complex (PVC) TGA Ablation Elecroanatomical mapping ASO |
| url | https://doi.org/10.1186/s12872-024-04290-3 |
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