scholarly journals Long-term follow up of children with congenital complete atrioventricular block and the impact of pacemaker therapy

EP Europace ◽  
2002 ◽  
Vol 4 (4) ◽  
pp. 345-349 ◽  
Author(s):  
C Balmer
Keyword(s):  
Atrioventricular Block ◽  
Complete Atrioventricular Block ◽  
Pacemaker Therapy ◽  
Congenital Complete Atrioventricular Block ◽  
Long Term Follow Up ◽  
The Impact ◽  
Complete Atrioventricular

Late recurrence of infra-Hisian complete atrioventricular block

2011 ◽  
Vol 22 (2) ◽  
pp. 230-231
Author(s):  
Hok-Keong Chang ◽  
Jieh-Neng Wang ◽  
Jing-Ming Wu
Keyword(s):  
Atrioventricular Block ◽  
Viral Myocarditis ◽  
Late Recurrence ◽  
Favourable Outcome ◽  
Complete Atrioventricular Block ◽  
Pacemaker Therapy ◽  
Long Term Follow Up ◽  
Late Recovery ◽  
Complete Atrioventricular

AbstractAcquired complete atrioventricular block that is caused by infectious myocarditis is usually transient and has a favourable outcome. We report the case of a 15-year-old girl who had complete infra-Hisian atrioventricular block due to adeno viral myocarditis and received a permanent pacemaker at the age of 10 months. The pacemaker lost its function at the age of 7 years. However, she experienced a late recurrence of complete atrioventricular block 10 years later. Complete atrioventricular block is rarely recovered if it persisted for 2 weeks. Even in the patients with late recovery, long-term follow-up and pacemaker therapy are still needed.

scholarly journals Long-Term Outcome Up To 40 Years after Single Patch Repair of Complete Atrioventricular Septal Defect in Infancy or Childhood

2021 ◽  
Vol 69 (S 03) ◽  
pp. e68-e75
Author(s):  
Stefanie Reynen ◽  
Hedwig H. Hövels-Gürich ◽  
Jaime F. Vazquez-Jimenez ◽  
Bruno J. Messmer ◽  
Joerg S. Sachweh
Keyword(s):  
Clinical Status ◽  
Atrioventricular Septal Defect ◽  
Patch Repair ◽  
Atrioventricular Valve ◽  
Pacemaker Therapy ◽  
Long Term Follow Up ◽  
Valve Function ◽  
Complete Atrioventricular

Abstract Objectives Patients with repaired complete atrioventricular septal defect (CAVSD) represent an increasing portion of grown-ups with congenital heart disease. For repair of CAVSD, the single-patch technique has been employed first. This technique requires division of the bridging leaflets, thus, among other issues, long-term function of the atrioventricular valves is of particular concern. Methods Between 1978 and 2001, 100 consecutive patients with isolated CAVSD underwent single-patch repair in our institution. Hospital mortality was 11%. Primary endpoints were clinical status, atrioventricular valve function, and freedom from reoperation in long term. Follow-up was obtained contacting the patient and/or caregiver, and the referring cardiologist. Results Eighty-three patients were eligible for long-term follow-up (21.0 ± 8.7, mean ± standard deviation [21.5; 2.1–40.0, median; min–max] years after surgical repair). Actual long-term mortality was 3.4%. Quality of life (QoL; self- or caregiver-reported in patients with Down syndrome) was excellent or good in 81%, mild congestive heart failure was present in 16%, moderate in 3.6% as estimated by New York Heart Association classification. Echocardiography revealed normal systolic left ventricular function in all cases. Regurgitation of the right atrioventricular valve was mild in 48%, mild–moderate in 3.6%, and moderate in 1.2%. The left atrioventricular valve was mildly stenotic in 15% and mild to moderately stenotic in 2%; regurgitation was mild in 54%, mild to moderate in 13%, and moderate in 15% of patients. Freedom from left atrioventricular-valve-related reoperation was 95.3, 92.7, and 89.3% after 5, 10, and 30 years, respectively. Permanent pacemaker therapy, as an immediate result of CAVSD repair (n = 7) or as a result of late-onset sick sinus syndrome (n = 5), required up to six reoperations in single patients. Freedom from pacemaker-related reoperation was 91.4, 84.4, and 51.5% after 5, 10, and 30 years, respectively. Conclusion Up to 40 years after single-patch repair of CAVSD, clinical status and functional results are promising, particularly, in terms of atrioventricular valve function. Permanent pacemaker therapy results in a life-long need for surgical reinterventions.

Diagnosis, Management, and Long-Term Results of Patients with Congenital Complete Atrioventricular Block

PEDIATRICS ◽  
1982 ◽  
Vol 69 (6) ◽  
pp. 728-733
Author(s):  
William W. Pinsky ◽  
Paul C. Gillette ◽  
Arthur Garson ◽  
Dan G. McNamara
Keyword(s):  
Heart Disease ◽  
Atrioventricular Block ◽  
Long Term Results ◽  
Complete Atrioventricular Block ◽  
Transposition Of Great Arteries ◽  
Congenital Complete Atrioventricular Block ◽  
Bundle Of His ◽  
Complete Atrioventricular

Sixty-five patients with congenital complete atrioventricular block have been studied. The median age at time of diagnosis was 7 months with 26 infants being diagnosed prior to 1 month of age. Anatomic heart disease was present in 25/65 (39%) infants, with ventricular inversion/L-transposition of great arteries complex occurring in 20/25 infants (80%). The site of block was above the bundle of His in 11 of 18 (61%) patients studied, in the bundle of His in three of 18 (17%), and below the bundle of His in two of 18 (11%). Permanent pacemakers were implanted in 17 (26%). Ten patients (15%) have died. The highest risk was in patients with anatomic heart disease and patients diagnosed early in life.

Longitudinal Echocardiographic Follow-Up in Children with Congenital Complete Atrioventricular Block

2007 ◽  
Vol 30 (11) ◽  
pp. 1339-1343 ◽  
Author(s):  
GERTIE C.M. BEAUFORT-KROL ◽  
MIEK J.M. SCHASFOORT-VAN LEEUWEN ◽  
YMKJE STIENSTRA ◽  
MARGREET Th.E. BINK-BOELKENS
Keyword(s):  
Atrioventricular Block ◽  
Complete Atrioventricular Block ◽  
Congenital Complete Atrioventricular Block ◽  
Complete Atrioventricular

scholarly journals Dilated cardiomyopathy in isolated congenital complete atrioventricular block: early and long-term risk in children

2001 ◽  
Vol 37 (4) ◽  
pp. 1129-1134 ◽  
Author(s):  
Floris E.A Udink ten Cate ◽  
Johannes M.P.J Breur ◽  
Mitchell I Cohen ◽  
Nicole Boramanand ◽  
Livia Kapusta ◽  
...  
Keyword(s):  
Dilated Cardiomyopathy ◽  
Atrioventricular Block ◽  
Complete Atrioventricular Block ◽  
Congenital Complete Atrioventricular Block ◽  
Complete Atrioventricular
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