Parise A, D’Ammando M, Barengo A, Notaristefano F and Zingarini G*
Department of Cardiology, University of Perugia, ItalyFulltext PDF
Truncus arteriosus is a rare type of heart disease in which a single blood vessel (truncus arteriosus) comes out of the right and left ventricles, instead of the normal 2 vessels (pulmonary artery and aorta). It is present at birth (congenital heart disease). A case report describes a 33-year-old patient with a history of truncus arteriosus type 1 who underwent cardiac surgery correction in the neonatal age, bearer of a dual-chamber ICD due to a positive electrophysiological study for induction of ventricular tachycardia, presented in the ED for palpitations. In the clinical case described, the intravenous bolus administration of flecainide determined the transition from atrial flutter to wide complex tachycardia, posing a problem of differential diagnostics between aberration of conduction and ectopy.
Flecainide; Tachycardia; Antiarrhythmic drugs; Truncus arteriosus
Parise A, D’Ammando M, Barengo A, Notaristefano F, Zingarini G. Flecainide Favors the Onset of Ventricular Tachycardia in GUCH Patient. Ann Clin Med Res. 2022;3(3):1066.