Hostname: page-component-848d4c4894-2pzkn Total loading time: 0 Render date: 2024-06-02T00:33:13.637Z Has data issue: false hasContentIssue false

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

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

Anderson, R, Becker, A, Arnold, R, Wilkinson, J.The conducting tissues in congenitally corrected transposition. Circulation 1974; 50: 911923.CrossRefGoogle ScholarPubMed
Lo, RNS, Lau, KC, Leung, M.Complete heart block after balloon dilatation for congenital pulmonary stenosis. Br Heart J 1988; 59: 384386.Google Scholar
Steinberg, Ch, Levin, A, Engle, ME.Transient complete heart block following percutaneous balloon pulmonary valvuloplasty: treatment with systemic corticosteroids. Pediatr Cardiol 1992; 13: 181183.Google Scholar
Sprung, C, Elser, B, Schein, R, Marcial, E, Scharger, B.Risk of right bundle branch block and complete heart block during pulmonary artery catheterization. Crit Care Med 1989; 17: 13.Google Scholar
Rao, PS, Wilson, A, Thapar, M, Brais, M.Balloon pulmonary valvuloplasty in the management of cyanotic congenital heart defects. Cath Cardiov Diag 1992; 25: 1624. Google Scholar