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Late recovery of sinus rhythm following perioperative complete atrioventricular block in a child with congenitally corrected transposition
Author(s) -
Eric A. Pasman,
Matthew Needleman,
Joseph W. May
Publication year - 2018
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_22_18
Subject(s) - medicine , perioperative , transposition (logic) , atrioventricular block , great arteries , cardiology , sinus rhythm , sinus (botany) , corrected transposition , surgery , heart disease , atrial fibrillation , linguistics , philosophy , botany , biology , genus
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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