Hypothermia for the Junctional Ectopic Tachycardia after VSD Closure: one case report.
- Author:
Dae Sik KIM
1
;
Jin Young YANG
;
Won Mo GOO
;
Seung Chul MOON
;
Kun LEE
;
Hun Jae LEE
;
Chang Young LIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Heart Center, Pundang CHA General Hospital, Collage of Medicine, Pochon CHA University, Korea.
- Publication Type:Case Report
- Keywords:
junctional ectopic tachycardia;
hypothermia;
induced;
postoperative complication
- MeSH:
Digitalis;
Diuretics;
Echocardiography;
Heart Defects, Congenital;
Heart Failure;
Heart Septal Defects, Ventricular;
Hemodynamics;
Humans;
Hypothermia*;
Male;
Pediatrics;
Postoperative Complications;
Tachycardia, Ectopic Junctional*;
Thoracic Surgery
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(12):1226-1229
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
50 days old, 4.5kg male patient was admitted at department of pediatrics due to congenital heart disease with congestive heart failure. The echocardiographic finding was perimembranous type ventricular septal defect. The patient underwent open heart surgery for patch closure of VSD. Immediately postoperatively, junctional ectopic tachycardia developed and the patient was in hemodynamically unstable state with decreased urine output. We used inotropics, digitalis and diuretics, however these treatments were not effective in recovering the unstable state. Therefore, we tried a mild hypothermic treatment (34degree C). During the POD #2, mild hypothermia method was repeated four times. The junctional ectopic tachycardia was converted to normal sinus rhythm, hemodynamic state was stable, and urine output was increased. The patient was discharged at POD #8.
