Korean J Thorac Cardiovasc Surg.  1998 Dec;31(12):1226-1229.

Hypothermia for the Junctional Ectopic Tachycardia after VSD Closure: one case report

• Kim DS
• Yang JY
• Goo WM
• Moon SC
• Lee K
• Lee HJ
• Lim CY

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.

Keyword

junctional ectopic tachycardia; hypothermia; induced; postoperative complication

MeSH Terms

Digitalis
Diuretics
Echocardiography
Heart Defects, Congenital
Heart Failure
Heart Septal Defects, Ventricular
Hemodynamics
Humans
Hypothermia*
Male
Pediatrics
Postoperative Complications
Tachycardia, Ectopic Junctional*
Thoracic Surgery
Diuretics