A child developed complete heart block requiring pacemaker insertion more than 2 years after atrioventricular septal defect repair despite normal sinus rhythm postoperatively.
Case Report (n=1)
Highlights the rare occurrence of late-presenting complete heart block years after pediatric AVSD repair, necessitating long-term monitoring.
Late presenting complete heart block after pediatric cardiac surgery is a rare complication and its management is well defined once the initial diagnosis in made timely and appropriately. In this report we described a child who underwent atrioventricular septal defect repair with a normal sinus rhythm during the postoperative period, as well as during the first 2 years of follow up. She subsequently developed complete heart block with bradycardia that required insertion of a pacemaker. Here we discuss this unusual late-presenting complication, possible risk factors, and management.
Nasser et al. (2015) conducted a case report in Late-presenting complete heart block after pediatric cardiac surgery (n=1). Pacemaker insertion was evaluated on Development of complete heart block. A child developed complete heart block requiring pacemaker insertion more than 2 years after atrioventricular septal defect repair despite normal sinus rhythm postoperatively.