Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2025-01-04T09:07:45.639Z Has data issue: false hasContentIssue false
  • English
  • Français

Prolonged QT and Torsades de Pointes in a child with late-onset post-operative complete heart block

Part of: Cardiac Morphology

Published online by Cambridge University Press:  24 March 2022

Sezen Gulumser Sisko Open the ORCID record for Sezen Gulumser Sisko [Opens in a new window] ,
Bahar Caran ,
Hasan C. Kafali Open the ORCID record for Hasan C. Kafali [Opens in a new window]  and
Yakup Ergul
Sezen Gulumser Sisko*
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Bahar Caran
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Hasan C. Kafali
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Yakup Ergul
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
*
Author for correspondence: S. Gulumser Sisko, Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey. Tel: +90536 666 23 22; Fax: +90 (212) 471 94 94. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

A young child presented with syncope attacks. Late-onset post-operative complete atrioventricular block and Torsades de Pointes were diagnosed. She was treated with surgical epicardial pacemaker implantation. This report is the description of Torsades de Pointes due to late-onset post-operative complete atrioventricular block followed by R on T phenomenon in a child.

Keywords

Childrensyncopeatrioventricular blockTorsades de Pointes
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 11 , November 2022 , pp. 1866 - 1868
Check for updates
Copyright
© The Author(s), 2022. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Moroe, K, Saku, K, Tashiro, N, Hiroki, T, Arakawa, K. “Torsades de pointes" and atrioventricular block. Clin Cardiol 1988; 11: 9–13. DOI 10.1002/clc.4960110111.CrossRefGoogle ScholarPubMed
Gross, GJ, Chiu, CC, Hamilton, RM, Kirsh, JA, Stephenson, EA. Natural history of postoperative heart block in congenital heart disease: implications for pacing intervention. Heart Rhythm 2006; 3: 601–604. DOI 10.1016/j.hrthm.2006.01.023.CrossRefGoogle ScholarPubMed
Fudge, JC Jr, Li, S, Jaggers, J, et al. Congenital heart surgery outcomes in down syndrome: analysis of a national clinical database. Pediatrics 2010; 126: 315–322. DOI 10.1542/peds.2009-3245.CrossRefGoogle ScholarPubMed
Tucker, EM, Pyles, LA, Bass, JL, Moller, JH. Permanent pacemaker for atrioventricular conduction block after operative repair of perimembranous ventricular septal defect. J Am Coll Cardiol 2007; 50: 1196–1200. DOI 10.1016/j.jacc.2007.06.014.CrossRefGoogle ScholarPubMed
Bonatti, V, Agnetti, A, Squarcia, U. Early and late postoperative complete heart block in pediatric patients submitted to open-heart surgery for congenital heart disease. Pediatr Med Chir 1998; 20: 181–186.Google ScholarPubMed
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: 948–956. DOI 10.1016/j.athoracsur.2006.04.030.CrossRefGoogle ScholarPubMed
Ayyildiz, P, Kasar, T, Ozturk, E, et al. Evaluation of permanent or transient complete heart block after open heart surgery for congenital heart disease. Pacing Clin Electrophysiol 2016; 39: 160–165. DOI 10.1111/pace.12778.CrossRefGoogle ScholarPubMed
Lin, A, Mahle, WT, Frias, PA, et al. Early and delayed atrioventricular conduction block after routine surgery for congenital heart disease. J Thorac Cardiovasc Surg 2010; 140: 158–160. DOI 10.1016/j.jtcvs.2009.12.050.CrossRefGoogle ScholarPubMed
Liberman, L, Pass, RH, Hordof, AJ, Spotnitz, HM. Late onset of heart block after open heart surgery for congenital heart disease. Pediatr Cardiol 2008; 29: 56–59. DOI 10.1007/s00246-007-9034-x.CrossRefGoogle ScholarPubMed
Villain, E, Ouarda, F, Beyler, C, Sidi, D, Abid, F. Facteurs prédictifs de bloc auriculo-ventriculaire complet tardif après traitement chirurgical des cardiopathies congénitales [Predictive factors for late complete atrio-ventricular block after surgical treatment for congenital cardiopathy]. Arch Mal Coeur Vaiss 2003; 96: 495–498.Google Scholar
Nasser, BA, Mesned, AR, Mohamad, T, Kabbani, MS. Late-presenting complete heart block after pediatric cardiac surgery. J Saudi Heart Assoc 2016; 28: 59–62. DOI 10.1016/j.jsha.2015.06.004.CrossRefGoogle ScholarPubMed
Altaweel, H, Kabbani, MS, Hijazi, O, Hammadah, HM, Al Ghamdi, S. Late presenting complete heart block after surgical repair of ventricular septal defect. Egypt Heart J 2018; 70: 455–459. DOI 10.1016/j.ehj.2018.10.006.CrossRefGoogle ScholarPubMed
Subbiah, RN, Gollob, MH, Gula, LJ, et al. Torsades de pointes during complete atrioventricular block: genetic factors and electrocardiogram correlates. Can J Cardiol 2010; 26: 208–212. DOI 10.1016/s0828-282x(10)70369-x.CrossRefGoogle ScholarPubMed
Kurita, T, Ohe, T, Marui, N, et al. Bradycardia-induced abnormal QT prolongation in patients with complete atrioventricular block with torsades de pointes. Am J Cardiol 1992; 69: 628–633. DOI 10.1016/0002-9149(92)90154-q.CrossRefGoogle ScholarPubMed