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General Thoracic and Cardiovascular Surgery

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01-06-2013 | Case Report

Landiolol for junctional ectopic tachycardia refractory to amiodarone after pediatric cardiac surgery

Authors: Tomomi Hasegawa, Yoshihiro Oshima, Ayako Maruo, Hironori Matsuhisa, Tasuku Kadowaki, Rei Noda

Published in: General Thoracic and Cardiovascular Surgery | Issue 6/2013

Abstract

Postoperative junctional ectopic tachycardia (JET) in children undergoing cardiac surgery is a serious arrhythmia that is associated with considerable morbidity and mortality. We present here a case of successful landiolol therapy for postoperative JET in a 3-month-old infant who underwent ventricular septal defect closure and right pulmonary artery plasty. His left ventricular function was poor postoperatively. The JET was refractory to amiodarone and caused severe hypotension, which was required cardiac massage. Continuous intravenous infusion of low-dose landiolol reduced the persistent JET rate immediately, and restored to sinus rhythm with stable hemodynamics.

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Title: Landiolol for junctional ectopic tachycardia refractory to amiodarone after pediatric cardiac surgery
Authors: Tomomi Hasegawa
Yoshihiro Oshima
Ayako Maruo
Hironori Matsuhisa
Tasuku Kadowaki
Rei Noda
Publication date: 01-06-2013
Publisher: Springer Japan
Published in: General Thoracic and Cardiovascular Surgery / Issue 6/2013
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-012-0141-0

At a glance: The STEP trials

Springer Medicine

Landiolol for junctional ectopic tachycardia refractory to amiodarone after pediatric cardiac surgery

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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