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Atrial Flutter in a Pediatric Patient in the Immediate Period After the Fontan Procedure: Control with Oral Propafenone
Author(s) -
HERZBERG GILBERT Z.,
ROSSI ANTHONY F.
Publication year - 1997
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1997.tb05475.x
Subject(s) - medicine , propafenone , atrial flutter , fontan procedure , cardiology , period (music) , anesthesia , heart disease , atrial fibrillation , physics , acoustics
A 2‐year‐old male underwent Fontan procedure as the third stage palliative repair for hypolastic left heart syndrome. On postroperative day number 15, he developed atrial flutter unresponsive to multiple attempts at cardioversion and therapeutic levels ofdigoxin and pro‐cainamide. Oral propafenone was administered and within 6 hours no further arrhythmias or side effects were noted. This case suggests that oral propafenone can be used with efficacy for the treatment of atrial flutter encountered in the immediate postoperative period following the Fontan procedure.