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Late recovery of sinus rhythm following perioperative complete atrioventricular block in a child with congenitally corrected transposition


1 Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, USA
2 Department of Medicine, Walter Reed National Military Medical Center, Bethesda, MD, USA

Correspondence Address:
Dr. Joseph William May
Department of Pediatrics, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889-5600
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_22_18

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Year : 2018  |  Volume : 11  |  Issue : 3  |  Page : 297-299

 

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We report a patient with l-transposition of the great arteries who developed perioperative complete atrioventricular block at 5 years of age in conjunction with a modified double-switch operation, but had unexpected late recovery of normal sinus rhythm months later. This case highlights that even for patients with l-transposition, which is particularly vulnerable to developing both spontaneous and perioperative complete atrioventricular block, late recovery of atrioventricular node conduction may still be possible after surgery.






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1 Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, USA
2 Department of Medicine, Walter Reed National Military Medical Center, Bethesda, MD, USA

Correspondence Address:
Dr. Joseph William May
Department of Pediatrics, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889-5600
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_22_18

Rights and Permissions

We report a patient with l-transposition of the great arteries who developed perioperative complete atrioventricular block at 5 years of age in conjunction with a modified double-switch operation, but had unexpected late recovery of normal sinus rhythm months later. This case highlights that even for patients with l-transposition, which is particularly vulnerable to developing both spontaneous and perioperative complete atrioventricular block, late recovery of atrioventricular node conduction may still be possible after surgery.






[FULL TEXT] [PDF]*


        
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