Abstract
Transcatheter closure of atrial septal defect (ASD) is the most common approach to close the defects worldwide. In this approach, persistent conduction disturbance is extremely rare, but an acute increase in supraventricular ectopy and minimal risk of atrioventricular conduction disturbance, as complete heart block, has been seen. Here, we report a patient who underwent ASD closure with device and presented with persistent complete heart block 10 days after device occlusion due to inflammatory tissue formation just near the atrioventricular node area at the floor of the right atrium without any direct compression on the triangle of Koch.
References
Al Akhfash AA, Al-Mesned A, Fayadh MA (2013) Amplatzer septal occluder and atrioventricular block: a case report and literature review. J Saudi Heart Assoc 25(2):91–94
Al-Anani SJ, Weber H, Hijazi ZM (2010) Atrioventricular block after transcatheter ASD closure using the Amplatzer septal occluder: risk factors and recommendations. Catheter Cardiovasc Interv 75(5):767–772
Bink-Boelkens MT, Meuzelaar KJ, Eygelaar A (1988) Arrhythmias after repair of secundum atrial septal defect: the influence of surgical modification. Am Heart J 115:629–633
Chen Q, Cao H, Zhang G-C, Chen L-W, Chen D-Z et al (2012) Atrioventricular block subsequent to intraoperative device closure atrial septal defect with transthoracic minimal invasion: a rare and serious complication. PLoS One 7(12):e52726. doi:10.1371/journal.pone.0052726
Du ZD, Hijazi ZM, Kleinman CS, Silverman NH, Larntz K (2002) Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multicenter nonrandomized trial. J Am Coll Cardiol 39:1836–1844
Hill SL, Berul CI, Patel HT, Rhodes J, Supran SE, Cao QL, Hijazi ZM (2000) Early ECG abnormalities associated with transcatheter closure of atrial septal defects using the Amplatzer septal occluder. J Int Card Electrophysiol 4:469–474
Kenji S, Marie-José R, Eric P (2004) Reversible atrioventricular block associated with closure of atrial septal defects using the Amplatzer device. J Am Coll Cardiol 43:1677–1682
Acknowledgments
The authors would like to thank Ms. A. Keivanshekouh at the Research Improvement Center of Shiraz University of Medical Sciences for improving the use of English in the manuscript.
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Amoozgar, H., Ahmadipoor, M. & Amirghofran, A.A. Complete Heart Block Following Transcatheter Closure of Atrial Septal Defect Due to Growth of Inflammatory Tissue. Pediatr Cardiol 35, 1301–1303 (2014). https://doi.org/10.1007/s00246-014-0986-3
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DOI: https://doi.org/10.1007/s00246-014-0986-3