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Heart block and empirical therapy after transcatheter closure of perimembranous ventricular septal defect
Author(s) -
Yip William C.L.,
Zimmerman Frank,
Hijazi Ziyad M.
Publication year - 2005
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20512
Subject(s) - medicine , heart block , sinus rhythm , cardiology , aspirin , heart septal defect , cardiac catheterization , atrioventricular block , sinus bradycardia , surgery , electrocardiography , bradycardia , atrial fibrillation , heart rate , blood pressure
Two patients with perimembranous ventricular septal defects (VSDs) and inlet extension have undergone uncomplicated transcatheter device closure using the Amplatzer membranous VSD device. Both patients developed complete heart block 2–4 days from the closure. Both patients responded well to high‐dose intravenous therapy with steroids and high‐dose oral anti‐inflammatory aspirin. Both patients remain in normal sinus rhythm 8 weeks and 10 months, respectively, from the episode. © 2005 Wiley‐Liss, Inc.