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(Chest. 1973;63:442-444.)
© 1973 American College of Chest Physicians

Tachy-Brady Syndrome following Open Heart Surgery

Robert P. Brouillard Maj, MC1; Julius L. Bedynek Jr Col, MC1; Melvin D. Cheitlin Col, MC1; and Umberto D'Ambrosio LTC, MC1

1 Department of Medicine and the Cardiology Service, Walter Reed General Hospital, Washington, D.C.

A 17-year-old patient is discussed who had the tachycardia-bradycardia syndrome following closure of a sinus venosus atrial septal defect. Cardiac standstill up to 7.2 seconds long occured, but placement of a permanent demand pacemaker was avoided. This unique case demonstrates that permanent pacemaker may not always be necessary in the tachycardia-bradycardia syndrome, especially when it occurs in a young postsurgical patient.






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Copyright © 1973 by the American College of Chest Physicians.