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Transient complete heart block following balloon pulmonary valvoplasty in a case of congenitally corrected transposition

Published online by Cambridge University Press:  19 August 2008

Leopoldo Romero*
Affiliation:
From the Grown-up Congenital Heart Unit, Royal Brompton National Heart & Lung Hospitals, London
Ulrich Sigwart
Affiliation:
From the Grown-up Congenital Heart Unit, Royal Brompton National Heart & Lung Hospitals, London
Jane Somerville
Affiliation:
From the Grown-up Congenital Heart Unit, Royal Brompton National Heart & Lung Hospitals, London
*
Dr. Leopoldo Romero, Centro Cardiovascular, Hospital Calvo Mackenna, Antonio Varas 360, Providencia, Santiago, Chile. Fax. 562217 2998.

Abstract

Balloon pulmonary valvoplasty was performed in a patient with congenitally corrected transposition, aged 28 years, who had already undergone surgical closure of a ventricular septal defect and implantation of a conduit between the pulmonary arteries and the right-sided morphologically left ventricle. The patient developed stenosis of the conduit 22 years after the procedure as confirmed by cardiac catheterization and angiocardiography, which also showed stenosis of the native pulmonary valve. A balloon valvoplasty of the native valve was carried out with improvement of the gradient from the ventricle to the pulmonary arteries. The patient developed complete heart block immediately after the procedure, which reverted to first degree block in one week and to the previous cardiac rhythm within 21 days.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1994

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