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(Chest. 1974;66:639-641.)
© 1974 American College of Chest Physicians

Management of Postoperative Complete Heart Block in Infants and Children

George R. Daicoff M.D.1; Azim Aslami M.D.1; Joel A. Tobias M.D.1; and B. Lynn Miller M.D.1

1 Divisions of Thoracic and Cardiovascular Surgery and Pediatric Cardiology, University of Florida College of Medicine, Gainesville

Sargically induced complete heart block (CHB) occurred in 40 (9 percent) of 425 infants and children who underwent intracardiac repair of congenital heart disease. Thirteen patients died in the immediate postoperative period from causes other than CHB, and there was one late death following a Stokes-Adams attack. Among the 26 survivors, 18 reverted to a sinus rhythm and eight patients required permanent cardiac pacing. The complications of permanent cardiac pacing were numerous; yet all eight patients survived and enjoyed normal activities up to five years after surgery. A new method of managing postoperative CHB in ingants and children has been presented.

Submitted on May 2, 1974
Accepted on May 5, 1974




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[Abstract] [Full Text]


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