Late recovery of sinus rhythm following perioperative complete atrioventricular block in a child with congenitally corrected transposition

• Main Authors: Eric Allen Pasman, Matthew Needleman, Joseph William May
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2018-01-01
• Series: Annals of Pediatric Cardiology
• Subjects: Complete atrioventricular block; congenitally corrected transposition; l-transposition of the great arteries; surgical atrioventricular block
• Online Access: http://www.annalspc.com/article.asp?issn=0974-2069;year=2018;volume=11;issue=3;spage=297;epage=299;aulast=Pasman

We report a patient with l-transposition of the great arteries who developed perioperative complete atrioventricular block at 5 years of age in conjunction with a modified double-switch operation, but had unexpected late recovery of normal sinus rhythm months later. This case highlights that even for patients with l-transposition, which is particularly vulnerable to developing both spontaneous and perioperative complete atrioventricular block, late recovery of atrioventricular node conduction may still be possible after surgery.