Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-19T07:31:38.377Z Has data issue: false hasContentIssue false
  • English
  • Français

Coexistence of atrioventricular block and Wolff-Parkinson-White syndrome in children

Published online by Cambridge University Press:  19 August 2008

Gunnlaugur Sigfússon ,
Steven A. Webber  and
Lee B. Beerman
Gunnlaugur Sigfússon
Affiliation:
Division of Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
Steven A. Webber
Affiliation:
Division of Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
Lee B. Beerman*
Affiliation:
Division of Cardiology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
*
Lee B. Beerman, M.D. Division of Cardiology, Children's Hospital of Pittsburgh, 3705 Fifth Avenue, Pittsburgh, PA 15213-2583. Tel: (412) 692-5540. Fax: (412) 692-5138
Get access Rights & Permissions [Opens in a new window]

Abstract

Coexistence of atrioventricular block and Wolff-Parkinson-White syndrome is uncommon, but may occur in children, particularly with certain congenital heart defects. Our study describes 5 children who had pre-excitation and underlying disturbance of atrioventricular conduction. All of these patients had structural heart defects, consisting of discordant atrioventricular connections in three, double inlet left ventricle in one, and a ventricular septal defect associated with straddling of the tricuspid valve in the other. In 4 of the patients, the presence of atrioventricular block was initially masked by the pre-excitation. When the conduction through an accessory pathway is lost, the child may be left with atrioventricular block, which is poorly tolerated in the setting of complex cardiac anatomy. Awareness of this association of Wolff-Parkinson-White syndrome and atrioventricular block is important in understanding the natural history and the management of children with congenital heart defects that are associated with tenuous atrioventricular conduction.

Keywords

Atrioventricular blockWolff-Parkinson-White syndromechildren
Type
Original Articles
Information
Cardiology in the Young , Volume 7 , Issue 4 , October 1997 , pp. 388 - 392
Copyright
Copyright © Cambridge University Press 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Losecoot, TG, Anderson, RH, Becker, AE, Danielson, GK, Soto, B, Rhyrhm and conduction disturbances. In: Congenital Corrected Transposition. Churchill-Livingstone, Edinburgh, 1983, pp 138–144.Google Scholar
2.Daliento, L, Corrado, D, Buja, G, John, N, Nava, A, Thiene, G. Rhythm and conduction disturbances in isolated, congenitally corrected transposition of the great arteries. Am J Cardiol 1986;58:314–318.CrossRefGoogle ScholarPubMed
3.Swiderski, J, Lees, MH, Nadas, AS. The Wolff-Parkinson-White syndrome in infancy and childhood. Br Heart J 1962;24:561–580.CrossRefGoogle ScholarPubMed
4.Van, Hare GF, Lesh, MD, Stanger, P. Radiofrequency catheter ablation of supraventricular arrhythmias in patients with congenital heart disease: Results and technical consideration. J Am Coll Cardiol 1993;22:883–890.Google Scholar
5.Scherf, D, Blumenfeld, S, Mueller, P. AV-conduction disturbance in the presence of pre- excitationsyndrome. Am Heart J 1952;43:829–839.CrossRefGoogle Scholar
6.Touboul, P, Kirkorian, G, Atallah, G, Cahen, P, DeZuloaga, C, Moleur, P. Atrioventricular block and preexcitation in hypertrophic cardiomyopathy. Am J Cardiol 1984;53: 961–963.CrossRefGoogle ScholarPubMed
7.Timmis, GC, Henke, J, Gordon, S, Raymo, RG. The Wolff-Parkinson-White syndrome in advanced atrioventricular block. Am J Cardiol 1971;28:592–597.CrossRefGoogle ScholarPubMed
8.Jordan, JL, Yamaguchi, I, Mandel, WJ. Coexistence of the Wolff-Parkinson-White syndrome and atrioventricular nodal block. Chest 1978;74:79–82.CrossRefGoogle ScholarPubMed
9.Lev, M, Leffler, WB, Langendorf, R, Pick, A. Anatomic findings in a case of ventricular pre-excitation (WPW) terminating in complete atrioventricular block. Circulation 1966;34:718–733.CrossRefGoogle Scholar
10.Mantakas, ME, McCue, CM, Miller, WW. Natural history of Wolff-Parkinson-White syndrome discovered in infancy. Am J Cardiol 1978;41:1097–1103.CrossRefGoogle ScholarPubMed
11.Perry, JC, Garson, A. Supraventricular tachycardia due to Wolff-Parkinson-White syndrome in children, early disap pearance and late recurrence. J Am Coll Cardiol 1990;16:1215–1220.CrossRefGoogle Scholar
12.Deal, BJ, Keane, JF, Gillette, PC, Garson, A. Wolff-Parkinson-White syndrome and supraventricular tachycardia during infancy: Management and follow-up. J Am Coll Cardiol 1985;5:130–135.CrossRefGoogle ScholarPubMed
13.Benson, DW, Gallagher, JJ, Oldham, HN, Selay, WC, Sterba, R, Spach, MS. Corrected transposition with severe intracardiac deformities with Wolff-Parkinson-White syndrome in a child. Circulation 1980;61:1256–1261.CrossRefGoogle ScholarPubMed
14.Friedburg, DZ, Nadas, AS. Clinical profile of patients with congenital corrected transposition of the great arteries. N Engl J Med 1970;282:1053–1059.CrossRefGoogle Scholar
15.Vanetti, A, Danzeau-Gouge, GP, Frank, R, Fourati, M, Evans, J, Ismal, MB, Daumet, P. Surgical treatment for complicated congenital aortic stenosis. J Thorac Cardiovasc Surg 1979;77:230–233.CrossRefGoogle ScholarPubMed