{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T03:34:51Z","timestamp":1771472091970,"version":"3.50.1"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T00:00:00Z","timestamp":1635897600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T00:00:00Z","timestamp":1635897600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["JA Clin Rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Atrial tachycardia (AT) is rare in children and can usually be reversed to sinus rhythm with pharmacotherapy and cardioversion. We report a rare case of severe left-sided heart failure due to refractory AT.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 12-year-old boy had AT with a heart rate of 180 beats\/minute, which was refractory to any medication and defibrillation despite the first attack. Due to rapid cardiorespiratory collapse shortly after arriving at our hospital, central extracorporeal membrane oxygenation (ECMO) with left arterial venting was started immediately. Although AT persisted after that, it stopped on the 3rd day after admission following surgical resection of the left atrial appendage thought to be the source of AT. He was weaned off ECMO on the 7th day and ventilator on the 14th day.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The appropriate timing of central ECMO and surgical ablation were effective in saving this child from a life-threatening situation caused by refractory AT.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40981-021-00481-5","type":"journal-article","created":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T07:03:45Z","timestamp":1635923025000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Intact survival from severe cardiogenic shock caused by the first attack of atrial tachycardia treated with extracorporeal membrane oxygenation and surgical left atrium appendage resection: a case report"],"prefix":"10.1186","volume":"7","author":[{"given":"Tatsuhiko","family":"Shimizu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoyuki","family":"Kanazawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takanobu","family":"Sakura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuyoshi","family":"Shimizu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuo","family":"Iwasaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,11,3]]},"reference":[{"key":"481_CR1","doi-asserted-by":"publisher","first-page":"664","DOI":"10.1161\/CIRCEP.113.001423","volume":"7","author":"KT Kang","year":"2014","unstructured":"Kang KT, Etheridge SP, Kantoch MJ, Tisma-Dupanovic S, Bradley DJ, Balaji S, et al. Current management of focal atrial tachycardia in children a multicenter experience. Circ Arrhythm Electrophysiol. 2014;7:664\u201370.","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"481_CR2","doi-asserted-by":"publisher","unstructured":"Khan M, Gauri A, Grifka R, Elmouchi D. Radiofrequency ablation of a left atrial appendage tachycardia on ECMO support. Case Rep Pediatr. 2013. https:\/\/doi.org\/10.1155\/2013\/203241.","DOI":"10.1155\/2013\/203241"},{"key":"481_CR3","doi-asserted-by":"publisher","first-page":"1138","DOI":"10.1161\/01.CIR.86.4.1138","volume":"86","author":"EP Walsh","year":"1992","unstructured":"Walsh EP, Saul JP, Hulse JE, et al. Transcatheter ablation of ectopic atrial tachycardia in young patients using radiofrequency current. Circulation. 1992;86:1138\u201346.","journal-title":"Circulation"},{"key":"481_CR4","doi-asserted-by":"publisher","first-page":"908","DOI":"10.1007\/s00246-010-9737-2","volume":"31","author":"E Pokushalov","year":"2010","unstructured":"Pokushalov E, Romanov A, Artyomenko S, Rhodes LA, Hordof AJ, Mayer JE, et al. Left atrial appendectomy after failed catheter ablation of a focal atrial tachycardia originating in the left atrial appendage. Pediatr Cardiol. 2010;31:908\u201311.","journal-title":"Pediatr Cardiol"},{"key":"481_CR5","doi-asserted-by":"publisher","first-page":"1322","DOI":"10.1016\/j.athoracsur.2013.11.017","volume":"97","author":"RD Torok","year":"2014","unstructured":"Torok RD, Wei B, Kanter RJ, Jaquiss RD, Lodge AJ. Thoracoscopic resection of the left atrial appendage after failed focal atrial tachycardia ablation. Ann Thorac Surg. 2014;97:1322\u20137.","journal-title":"Ann Thorac Surg"},{"key":"481_CR6","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1097\/PCC.0b013e3182196cb1","volume":"13","author":"U Dyamenahalli","year":"2012","unstructured":"Dyamenahalli U, Tuzcu V, Fontenot E, Papagiannis J, Jaquiss RD, Bhutta A, et al. Extracorporeal membrane oxygenation support for intractable primary arrhythmias and complete congenital heart block in newborns and infants: short-term and medium-term outcomes. Pediatr Crit Care Med. 2012;13:47\u201352.","journal-title":"Pediatr Crit Care Med"},{"key":"481_CR7","doi-asserted-by":"publisher","first-page":"622","DOI":"10.1093\/europace\/euu365","volume":"17","author":"SO Shebani","year":"2015","unstructured":"Shebani SO, Ng GA, Stafford P, Duke C. Radiofrequency ablation on veno-arterial extracorporeal life support in treatment of very sick infants with incessant tachymyopathy. Europace. 2015;17:622\u20137.","journal-title":"Europace"},{"key":"481_CR8","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1007\/s00246-016-1518-0","volume":"38","author":"NS Boscamp","year":"2017","unstructured":"Boscamp NS, Turner ME, Crystal M, Anderson B, Vincent JA, Torres AJ. Cardiac catheterization in pediatric patients supported by extracorporeal membrane oxygenation: a 15-year experience. Pediatr Cardiol. 2017;38:332\u20137.","journal-title":"Pediatr Cardiol"},{"key":"481_CR9","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1111\/j.1525-1594.2012.01534.x","volume":"37","author":"Y Kotani","year":"2013","unstructured":"Kotani Y, Chetan D, Rodrigues W, Sivarajan VB, Gruenwald C, Guerguerian AM, et al. Left atrial decompression during venoarterial extracorporeal membrane oxygenation for left ventricular failure in children: current strategy and clinical outcomes. Artif Organs. 2013;37:29\u201336.","journal-title":"Artif Organs"},{"key":"481_CR10","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1111\/j.1540-8167.2007.01028.x","volume":"19","author":"KP Phillips","year":"2008","unstructured":"Phillips KP, Natale A, Sterba R, Saliba WI, Burkhardt JD, Wazni O, et al. Percutaneous pericardial instrumentation for catheter ablation of focal atrial tachycardias arising from the left atrial appendage. J Cardiovasc Electrophysiol. 2008;19:430\u20133.","journal-title":"J Cardiovasc Electrophysiol"}],"container-title":["JA Clinical Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-021-00481-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40981-021-00481-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-021-00481-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T07:05:29Z","timestamp":1635923129000},"score":1,"resource":{"primary":{"URL":"https:\/\/jaclinicalreports.springeropen.com\/articles\/10.1186\/s40981-021-00481-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,3]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["481"],"URL":"https:\/\/doi.org\/10.1186\/s40981-021-00481-5","relation":{},"ISSN":["2363-9024"],"issn-type":[{"value":"2363-9024","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,3]]},"assertion":[{"value":"15 July 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 October 2021","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 October 2021","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 November 2021","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"In our institution, IRB approval is not required for a case report.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"We obtained written informed consent from the patient and his family for the publication of this case report in a scientific journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"81"}}