• Arch Pediatr · Oct 2015

    Case Reports

    [Repeated electrical cardioversions and amiodarone for recurrent neonatal atrial flutter].

    • A-S Crochelet, C Jacquemart, and M Massin.
    • Service de cardiologie pédiatrique, université Libre de Bruxelles (ULB), hôpital universitaire des enfants Reine-Fabiola, 15, avenue J.J.-Crocq, 1020 Bruxelles, Belgique; Service de pédiatrie, université de Liège (ULg), centre hospitalier régional Citadelle, Liège, Belgique.
    • Arch Pediatr. 2015 Oct 1; 22 (10): 1032-4.

    AbstractPerinatal atrial flutter is a serious arrhythmia. Its management continues to pose a challenge during the fetal period but also, in rare intractable cases, during the postnatal period. This report describes the case of a neonate who required multiple electrical external cardioversions and amiodarone to resolve a recurrent atrial flutter. This case report suggests that neonatal atrial flutter may be recurrent at short term, that repeated electrical cardioversions with low energy are safe for a neonate, that amiodarone is effective as a premedication before cardioversion and in maintaining sinus rhythm afterward, and finally that the long-term prognosis is good, even when the arrhythmia is initially refractory to therapy. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

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