Cardiogenic Shock Due to Unsuspected Tachycardia in a Child

Kosuke Nishikawa; Yo Kajiyama; Hirokazu Shiraishi; Keitaro Senoo; Masaaki Yamagishi

doi:10.1016/j.jaccas.2022.05.025

Cardiogenic Shock Due to Unsuspected Tachycardia in a Child

JACC Case Rep. 2022 Jul 20;4(14):885-889. doi: 10.1016/j.jaccas.2022.05.025.

Authors

Kosuke Nishikawa¹, Yo Kajiyama¹, Hirokazu Shiraishi², Keitaro Senoo³, Masaaki Yamagishi⁴

Affiliations

¹ Department of Pediatrics, Kyoto Prefectural University of Medicine, Kyoto, Japan.
² Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.
³ Department of Cardiac Arrhythmia Research and Innovation, Kyoto Prefectural University of Medicine, Kyoto, Japan.
⁴ Division of Pediatric Cardiovascular and Cardiovascular Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Abstract

A 10-year-old girl experienced cardiac failure due to atrial tachycardia originating from a left atrial appendage. Surgical appendectomy was done after a recurrence of the atrial tachycardia just after the first attempt at catheter ablation. A second ablation attempt was avoided because of the risk of cardiac perforation. (Level of Difficulty: Intermediate.).

Keywords: AT, atrial tachycardia; ECG, electrocardiogram; ECMO, extracorporeal membrane oxygenation; LAA, left atrial appendage; LV, left ventricle; RFCA, radiofrequency catheter ablation; ablation; acute heart failure; appendectomy; complication; pediatric surgery; tamponade.

Publication types

Case Reports