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  • Title: [Surgery for Wolff-Parkinson-White syndrome in the first year of life].
    Author: Fantini FA, Sternick EB, Gontijo Filho B, Bracarense LF, de Castro MF, Paula e Silva JA, Barbosa JT, Vrandecic MO.
    Journal: Arq Bras Cardiol; 1993 Apr; 60(4):253-6. PubMed ID: 8311734.
    Abstract:
    A case of surgical treatment for reentrant atrioventricular tachycardia in a 7 months old child is reported. Episodes of tachycardia were repetitive and long-lasting, often leading to signs of hemodynamic impairement, and were not controlled by antiarrhythmic drugs. The electrophysiologic study showed a circus-movement tachycardia utilizing a concealed accessory pathway located at the anterior septal aspect of tricuspid anulus. The child underwent successful surgical treatment by the endocardial technique. Few minutes after weaning from extracorporeal circulation, developed T wave inversion followed by acute right ventricular dysfunction and ventricular fibrillation. Others ischemic like episodes, maybe as a result of coronary artery spasm, occurring in the next 6 hours were successfully treated with isosorbide dinitrate. At 18 months follow-up, the child is free of tachycardia and has normal atrioventricular conduction.
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