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Atrioventricular conduction recovery immediately after the re-operation in a repaired CHD patient

Published online by Cambridge University Press:  25 July 2023

Yuki Nakayama*
Affiliation:
Department of Pediatric Cardiovascular Surgery, Matsudo City General Hospital, Matsudo, Chiba, Japan
Yoshihiko Horimoto
Affiliation:
Department of Pediatrics, Matsudo City General Hospital, Matsudo, Chiba, Japan
Takeshi Shinkawa
Affiliation:
Department of Cardiovascular Surgery, Tokyo Women’s Medical University, Shinjuku, Tokyo, Japan
*
Corresponding author: Yuki Nakayama; Email: [email protected]

Abstract

This is a case of a 2.7-year-old girl with trisomy 21 and double outlet right ventricle who underwent epicardial pacemaker system placement for a surgical atrioventricular block and achieved atrioventricular conduction recovery immediately after residual ventricular septal defect closure. Although ventricular pacing ratio was 100% before re-operation, it declined to approximately 25% on the 6th post-operative day and was <1% 3 years after re-operation.

Type
Brief Report
Copyright
© The Author(s), 2023. Published by Cambridge University Press

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References

van Geldorp, IE, Vanagt, WY, Vugts, G, et al. Late recovery of atrioventricular conduction after postsurgical chronic atrioventricular block is not exceptional. J Thorac Cardiovasc Surg 2013; 145: 10281032.CrossRefGoogle Scholar
Weindling, SN, Saul, JP, Gamble, WJ, Mayer, JE, Wessel, D, Walsh, EP. Duration of complete atrioventricular block after congenital heart disease surgery. Am J Cardiol 1998; 82: 525527.CrossRefGoogle ScholarPubMed
Kiehl, EL, Makki, T, Matar, RM, et al. Incidence and predictors of late atrioventricular conduction recovery among patients requiring permanent pacemaker for complete heart block after cardiac surgery. Heart Rhythm 2017; 14: 17861792.CrossRefGoogle ScholarPubMed
Romer, AJ, Tabbutt, S, Etheridge, SP, et al. Atrioventricular block after congenital heart surgery: analysis from the Pediatric Cardiac Critical Care Consortium. J Thorac Cardiovasc Surg 2019; 157: 11681177.10.1016/j.jtcvs.2018.09.142CrossRefGoogle ScholarPubMed
Ayık, MF, Şişli, E, Dereli, M, et al. A retrospective survey comparing suture techniques regarding the risk of permanent epicardial pacemaker implantation after ventricular septal defect closure. Braz J Cardiovasc Surg 2018; 33: 339346.CrossRefGoogle ScholarPubMed