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The Annals of Thoracic Surgery, Vol 53, 726-728, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Life-threatening postoperative junctional ectopic tachycardia

PW Braunstein Jr, RM Sade and PC Gillette
Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston 29425.

Junctional ectopic tachycardia developed in an infant after intraatrial repair of transposition of the great arteries. He failed to respond to medical management and, in moribund condition, underwent His bundle cryoablation. He survived and ultimately did well. Junctional ectopic tachycardia is not uncommon after open heart operations in children and may be lethal. Its genesis, diagnosis, and treatment are now well enough understood to allow successful treatment of nearly all patients.

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