Successful treatment of atrial flutter with synchronized electrical cardioversion in a premature infant with atrial septal aneurysm
10.3760/cma.j.cn113903-20191219-00719
- VernacularTitle:早产儿房间隔膨出瘤并发心房扑动同步电复律成功一例
- Author:
Xiaoling YANG
1
;
Guiju ZHANG
Author Information
1. 山东中医药大学附属医院儿科，济南 250011
- From:
Chinese Journal of Perinatal Medicine
2020;23(8):552-555
- CountryChina
- Language:Chinese
-
Abstract:
This is a case report of the diagnosis and treatment of atrial flutter with atrial septal aneurysm in a preterm infant. A male neonate born at 35 +2 weeks was delivered by emergent cesarean section due to fetal tachycardia (230-240 bpm) observed during electronic fetal monitoring. The baby was admitted due to tachycardia, tachypnea, and grunting for 15 min after birth. The electrocardiogram demonstrated atrial flutter with the atrial rate of 440 bpm and the ventricular rate of 220 bpm, and 2∶1 atrioventricular conduction. The echocardiography revealed atrial septal aneurysm, patent ductus arteriosus, and patent foramen ovale. Cedilanid and amiodarone were administered firstly. The sinus rhythm was restored after synchronized electrical cardioversion with 4 J (1.8 J/kg). There was no recurrence of atrial flutter during follow-ups till December 18, 2019, with a corrected gestational age of 41 +4 weeks.
