Key result
Right atrial aneurysm resection restores sinus rhythm and resolves symptoms in a pediatric WPW case.
Why the study?
Does surgical resection of a right atrial aneurysm improve symptoms and restore normal sinus rhythm in a pediatric patient with associated Wolff-Parkinson-White syndrome and failed radiofrequency ablation?
Case Report (n=1)
No
Does surgical resection of a right atrial aneurysm improve symptoms and restore normal sinus rhythm in a pediatric patient with associated Wolff-Parkinson-White syndrome and failed radiofrequency ablation?
Surgical resection of a right atrial aneurysm can successfully treat associated Wolff-Parkinson-White syndrome and paroxysmal supraventricular tachycardia after failed radiofrequency ablation in a pediatric patient.
Single-case success suggests surgical option for refractory pediatric WPW with right atrial aneurysm; hypothesis-generating and should not change practice.
This report describes our experience with a 5-year-old girl who had an extremely rare presentation of a right atrial aneurysm and associated Wolff-Parkinson-White syndrome. Before being referred to our department, she underwent an ineffective radiofrequency ablation for repeated episodes of paroxysmal supraventricular tachycardia that were causing dizziness, palpitations, and chest discomfort. We resected the aneurysm with good results; she was doing well and was in normal sinus rhythm at the time of her 1-year follow-up visit.
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Movsesyan et al. (2022) conducted a case report in Right atrial aneurysm and associated Wolff-Parkinson-White syndrome (n=1). Surgical resection of right atrial aneurysm was evaluated on Clinical status and heart rhythm. Surgical resection of a right atrial aneurysm in a 5-year-old girl with Wolff-Parkinson-White syndrome restored normal sinus rhythm and resolved symptoms at 1-year follow-up.
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