Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-20T00:34:48.062Z Has data issue: false hasContentIssue false

Late recurrence of infra-Hisian complete atrioventricular block

Published online by Cambridge University Press:  06 September 2011

Hok-Keong Chang
Affiliation:
Department of Pediatrics, Madou Sin Lau Hospital, Tainan, Taiwan
Jieh-Neng Wang
Affiliation:
Department of Pediatrics, National Cheng Kung University Hospital, Tainan, Taiwan
Jing-Ming Wu*
Affiliation:
Department of Pediatrics, National Cheng Kung University Hospital, Tainan, Taiwan
*
Correspondence to: Dr J-M. Wu, Department of Pediatrics, National Cheng Kung University Hospital, No.138 Sheng-Li Road, Tainan 70403, Taiwan. Tel: +886 6 2353535 ext 4187; Fax: +886 6 2753083; E-mail: [email protected]

Abstract

Acquired complete atrioventricular block that is caused by infectious myocarditis is usually transient and has a favourable outcome. We report the case of a 15-year-old girl who had complete infra-Hisian atrioventricular block due to adeno viral myocarditis and received a permanent pacemaker at the age of 10 months. The pacemaker lost its function at the age of 7 years. However, she experienced a late recurrence of complete atrioventricular block 10 years later. Complete atrioventricular block is rarely recovered if it persisted for 2 weeks. Even in the patients with late recovery, long-term follow-up and pacemaker therapy are still needed.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2011

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.Batra, AS, Epstein, D, Silka, MJ. The clinical course of acquired complete heart block in children with acute myocarditis. Pediatr Cardiol 2003; 24: 495497.Google ScholarPubMed
2.Maury, P, Chilon, T, Dumontile, N, Fontan, A. Complete atrioventricular block persisting after regression of infectious myocarditis. J Electrocardiol 2008; 41: 665667.CrossRefGoogle ScholarPubMed
3.Wang, JN, Tsai, YC, Lee, WL, Lin, CS, Wu, JM. Complete atrioventricular block following myocarditis in children. Pediatr Cardiol 2002; 23: 518521.CrossRefGoogle ScholarPubMed
4.Salvi, A, Della Grazia, E, Silvestri, F, Camerini, F. Acute rickettsial myocarditis and advanced atrioventricular block: diagnosis and treatment aided by endomyocardial biopsy. Int J Cardiol 1985; 7: 405409.CrossRefGoogle ScholarPubMed
5.Heusch, A, Kuhl, U, Rammos, S, Krogmann, ON, Schultheiss, HP, Bourgeois, M. Complete AV-block in two children with immunohistochemical proven myocarditis. Eur J Pediatr 1996; 155: 633636.CrossRefGoogle ScholarPubMed