Duration of complete atrioventricular block after congenital heart disease surgery

Weindling, Steven N.; Saul, J. P.; Gamble, Walter J.; Mayer, John E.; Wessel, David; Walsh, Edward P.

doi:10.1016/s0002-9149(98)00375-0

Cited by 213 publications

(129 citation statements)

References 9 publications

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“…Weindling et al have shown that 63% of patients with CHB after surgery regained atrioventricular conduction in the first post-operative month; in the majority (97%) this occurred in the first 9 days after surgery. 7 Belated recoveries after permanent pacemaker implantation occur in a small but significant number of patients. Batra et al noted that after insertion of a pacemaker, recovery of atrioventricular conduction occurred in 7 of 72 patients (9.6%) at a median of 41 days (range 18-113 days) after the initial cardiac operation.…”

Section: Discussionmentioning

confidence: 99%

Permanent complete heart block following surgical correction of congenital heart disease

Edwin¹,

Aniteye²,

Tettey³

et al. 2011

Ghana Medical Journal

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SUMMARYBackground: The risk of complete heart block (CHB) from congenital heart repairs in Ghana is unknown. This information is important for referring physicians and in pre-operative counselling of patients and facilitates the process of obtaining informed consent for such repairs. Objectives: This study was undertaken to determine the incidence of permanent post-operative CHB requiring pacemaker implantation; and the postoperative problems related to the pacemaker. Design: Retrospective study design.

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Section: Discussionmentioning

confidence: 99%

Permanent complete heart block following surgical correction of congenital heart disease

Edwin¹,

Aniteye²,

Tettey³

et al. 2011

Ghana Medical Journal

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“…11 Some studies have reported the incidence of transient complete AVBs in up to 1%-5% of patients undergoing transcatheter device closure of a PMVSD. 6,12 In our study, the incidence of AVBs was 3.5%.…”

Section: Discussionmentioning

confidence: 99%

Atrioventricular Block: A Serious Complication in and After Transcatheter Closure of Perimembranous Ventricular Septal Defects

Zhou

Shen

Zhou

et al. 2008

Clinical Cardiology

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Background: Transcatheter closure is an effective approach for perimembranous ventricular septal defects (PMVSD). However, atrioventricular blocks (AVB) emerged possibly due to the close proximity of the PMVSD to the conduction system, but concern for the complication was not adequately emphasized. In this study, we report the incidence of AVBs, in and after transcatheter closure of a PMVSD, and the outcome of the complication in our center. Methods: One hundred and sixty-eight PMVSD patients were accepted for transcatheter closure with Amplazter PMVSD occluder (AGA Medical, Plymouth, Minn., USA). The procedure was discontinued when a secondor third-degree AVB occurred. A steroid was administered to all patients who developed AVBs. Temporary pacemakers were inserted in patients who developed a complete AVB or Mobitz type II AVB during or after the procedure. Results: During the follow-up period of 6-24 mo (mean 10.6±3.9), the incidence of AVBs occurring during or after transcatheter closure of PMVSD was 3.5%. The AVB disappeared quickly after discontinuing the procedure in patients who developed AVBs during the procedure, whereas the AVBs disappeared between 2 and 21 d (mean 8.0±8.8) in the patients who developed AVBs after the procedure. However, complete right bundle branch block (CRBBB) was observed, and a transient complete AVB emerged after 8 mo in 1 case, incomplete right bundle branch block (IRBBB) in 1 case, and CRBBB and left anterior hemiblock (LAH) in 1 case. Conclusions:The AVB is a serious complication during and after transcathter closure of PMVSD. More attention should be paid to the complication, and multicentres are required to monitor the complication.

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“…Weindling et al [12] analysed the incidence of all 3 rd degree atrioventricular blocks, including reversible blocks, in different heart diseases, finding an incidence of 17% after the correction of left ventricle outflow tract defects, 11% in corrections of transposition of the great vessels, 4% in the correction of interventricular septum defects and 3% in the correction of Tetralogy of Fallot, with the necessity of definitive implants in approximately 14% of the studied population.…”

Section: Fig 1 -Analysis Using the Kaplan-meier Methods Of The Survivmentioning

confidence: 99%

<![CDATA[Permanent cardiac pacing in children with postoperative bradycardia: long-term follow-up]]>

Costa¹,

Silva²,

Filho³

et al. 2005

Braz. j. cardiovasc. surg.

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RBCCV 44205-777Marca-passo cardíaco definitivo em crianças com bradicardia pós-operatória: resultados tardios Permanent cardiac pacing in children with postoperative bradycardia: long-term follow-up Abstract Objective: To evaluate the long-term outcomes of children submitted to permanent cardiac pacing due to postoperative bradycardia and to identify risk factors for mortality.Methods: From 1980 to 2004, 120 children were submitted to permanent pacemaker implantation. Interval between the defect correction and pacemaker implantation was 1.2 ± 2.8 years on average (median = 21 days). Atrioventricular blocks were present in 94.2% of patients. Transvenous leads (78.3%) and ventricular pacemaker systems (79.2%) were used in most cases. Risk factors were studied using the Cox proportional model. The Kaplan-Meier method and the LogRank test were used to analyze survival.Results: After a mean of 5.7 ± 5.9 years (maximum = 22.5 years) of follow-up, 97 patients were alive and 23 were lost from the follow-up study. The main causes of death were terminal heart failure (10), infection not related to implantation (six), and sudden death (three). The 5-, 10-, and 15-year survival rates were 80.9 ± 4.1%, 75.4 ± 5.5% and 67.2 ± 7.4%, respectively. The persistence of hemodynamic problems (palliative procedures, the use of valve prostheses or the presence of residual defects) was identified as the only independent risk predictors for mortality, with significant alterations in the survival curves (p=0.0123).Conclusion: The implant of permanent pacemakers in children provided good survival expectancy, mainly depending on the underlying disease and the type of the correction made. Palliative corrections, such as the presence of residual defects or the use of valve prostheses were the only predictors of poor results in these children. Resultados: Após 5,7 ± 5,9 anos de seguimento (máximo= 22,5 anos), 97 pacientes estavam vivos e 11 haviam sido perdidos para o seguimento. As principais causas de morte foram insuficiência cardíaca (10), infecção não relacionada ao marca-passo (seis) e morte súbita (três). A expectativa de sobrevida aos cinco, 10 e 15 anos de seguimento mostrou, respectivamente, índices de 80,9 ± 4,1%, 75,4 ± 5,5% e 67,2 ± 7,4%. A persistência de problemas hemodinâmicos após a correção (correções paliativas, uso de próteses valvares ou defeitos residuais) foi identificada como única variável preditora independente de risco para mortalidade, alterando significativamente as curvas de sobrevivência (p = 0,0123). DescriptorsConclusões: O implante de marca-passo em casos de bradicardia pós-operatória possibilitou boa expectativa de sobrevida. A realização de correções paliativas, assim como a presença de defeitos residuais ou de próteses valvares, foram os únicos fatores preditores de mau prognóstico para essas crianças.Descritores: Estimulação cardíaca artificial. Bloqueio cardíaco. Pediatria. Procedimentos cirúrgicos cardíacos. Complicações pós-operatórias.

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Duration of complete atrioventricular block after congenital heart disease surgery

Cited by 213 publications

References 9 publications

Permanent complete heart block following surgical correction of congenital heart disease

Permanent complete heart block following surgical correction of congenital heart disease

Atrioventricular Block: A Serious Complication in and After Transcatheter Closure of Perimembranous Ventricular Septal Defects

<![CDATA[Permanent cardiac pacing in children with postoperative bradycardia: long-term follow-up]]>

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