Case Report: Embryo Transfer after Slow Pathway Radiofrequency Ablation in a Paroxysmal Supraventricular Tachycardia Patient

Constantin Paraschiv, Miu Corina Leo Mandes, Sergiu Sipos, Denisa Protopopescu, Panayiotis Zavos.

Abstract

This case report highlights the successful embryo transfer in a patient with a history of paroxysmal supraventricular tachycardia (PSVT) who underwent slow pathway radiofrequency ablation prior to in vitro fertilization (IVF). It emphasizes the importance of multidisciplinary care in managing patients with cardiac arrhythmias during assisted reproductive procedures.

We report the case of a 31-year-old female patient with a history of primary infertility due to polychistic ovarian syndrome (PCOS) and a septate uterus. The patient underwent ovarian stimulation and oocyte retrieval, followed by cryopreservation of all the embryos due to mild ovarian hyperstimulation syndrome. During her fertility treatment, she developed symptomatic paroxysmal supraventricular tachycardia (PSVT), which was managed successfully with slow pathway radiofrequency ablation. Following recovery from the procedure, the patient elected to proceed with thawing of the cryopreserved embryos. A single embryo transfer was performed after uterine septum correction, resulting in a successful singleton pregnancy. The pregnancy progressed without complications, culminating in the delivery at 38 weeks and 5 days pregnancy by c-section of a healthy female infant.