Key result
Pacemaker and PDA ligation restore hemodynamic stability in a 4-month-old with high-degree AV block.
Why the study?
Atrioventricular block in children may pose a diagnostic challenge for physicians.
Case Report (n=1)
No
This case report demonstrates the successful management of a rare 3:1 high-degree AV block in a 4-month-old infant with concurrent congenital heart defects using pacemaker implantation.
May inform rare infant AV block cases with PDA; leaves open generalizability and requires prospective studies.
Background: Atrioventricular (AV) block in children may pose a challenge for phycisians. However, it can be detected with careful physical examination. Case illustration: A 4 month old infant presented with bradycardia that did not improve during observation period. Her electrocardiography (ECG) showed complete atrioventricular block and her echocardiography showed secundum atrial septal defect (ASD) and patent ductus arteriosus (PDA). Her father’s ECG showed first degree AV block. She was recovered well after pacemaker implantation and PDA ligation. Conclusion: An infant who suffered from complete AV block was successfully treated with pacemaker.
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Agus Cahyono (2022) conducted a case report in 3:1 high degree atrioventricular block (n=1). Pacemaker implantation and PDA ligation was evaluated on Hemodynamic stability and heart rate. A 4-month-old infant with a 3:1 high-degree AV block was successfully treated with pacemaker implantation and PDA ligation, achieving hemodynamic stability and a heart rate of 95 bpm.
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