The Journal of Thoracic and Cardiovascular Surgery
Volume 140, Issue 1 , Pages 158-160 , July 2010

Early and delayed atrioventricular conduction block after routine surgery for congenital heart disease

Read at the Fifty-eighth Annual Scientific Sessions of the American College of Cardiology, Orlando, Florida, March 2009.

  • Angela Lin, BS

      Affiliations

    • Case Western School of Medicine, Cleveland, Ohio
  • ,
  • William T. Mahle, MD

      Affiliations

    • Emory University Division of Cardiology, Department of Pediatrics, Atlanta, Ga
  • ,
  • Patricio A. Frias, MD

      Affiliations

    • Emory University Division of Cardiology, Department of Pediatrics, Atlanta, Ga
  • ,
  • Peter S. Fischbach, MD

      Affiliations

    • Emory University Division of Cardiology, Department of Pediatrics, Atlanta, Ga
  • ,
  • Brian E. Kogon, MD

      Affiliations

    • Emory University Division of Cardiothoracic Surgery, Department of Surgery, Atlanta, Ga
  • ,
  • Kirk R. Kanter, MD

      Affiliations

    • Emory University Division of Cardiothoracic Surgery, Department of Surgery, Atlanta, Ga
  • ,
  • Paul M. Kirshbom, MD

      Affiliations

    • Emory University Division of Cardiothoracic Surgery, Department of Surgery, Atlanta, Ga
    • Corresponding Author InformationAddress for reprints: Paul M. Kirshbom, MD, 1365 Clifton Rd, A2100, Atlanta, GA 30322.

Received 15 June 2009 ,Revised 12 November 2009 ,Accepted 20 December 2009.

References 

  1. Hoffman J. Incidence, mortality, and natural history. In:  Anderson R,  Baker E,  Macartney F,  Rigby ML,  Shinebourne EA,  Tynan M editor. Paediatric cardiology. Edinburgh: Churchill Livingstone; 2005;p. 111–140
  2. Andersen HØ, de Leval MR, Tsang VT, Elliott MJ, Anderson RH, Cook AC. Is complete heart block after surgical closure of ventricular septum defects still an issue?. Ann Thorac Surg. 2006;82:948–957
  3. Kim MH, Deeb GM, Eagle KA, Bruckman D, Pelosi F, Oral H, et al. Complete atrioventricular block after valvular heart surgery and the timing of pacemaker implantation. Am J Cardiol. 2001;87:649–651
  4. Liberman L, Pass R, Hordof A, Spotnitz H. Late onset of heart block after open heart surgery for congenital heart disease. Pediatr Cardiol. 2007;29:56–59
  5. Wolff G, Rowland T, Ellison R. Surgically induced right bundle-branch block with left anterior hemiblock: an ominous sign in postoperative tetralogy of Fallot. Circulation. 1972;46:587–594
  6. 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;82:525–527
  7. Moss A, Klyman G, Emmanouilides G. Late onset complete heart block. Am J Cardiol. 1972;30:884–887
  8. Butera G, Carminati M, Chessa M, Piazza L, Micheletti A, Negura DG, et al. Transcatheter closure of perimembranous ventricular septal defects: early and long-term results. J Am Coll Cardiol. 2007;50:1189–1195
  9. Predescu D, Chaturvedi RR, Friedberg MK, Benson LN, Ozawa A, Lee KJ. Complete heart block associated with device closure of perimembranous ventricular septal defects. J Thorac Cardiovasc Surg. 2008;136:1223–1228
  10. Fukuda T, Nakamura Y, Iemura J, Oku H. Onset of complete atrioventricular block 15 years after ventricular septal defect surgery. Pediatr Cardiol. 2002;23:80–83

 Disclosures: None.

PII: S0022-5223(10)00160-1

doi: 10.1016/j.jtcvs.2009.12.050

The Journal of Thoracic and Cardiovascular Surgery
Volume 140, Issue 1 , Pages 158-160 , July 2010