Transient complete atrioventricular block with Morgagni—Adams—Stokes attacks in a child after aortic valve replacement
https://doi.org/10.21508/1027-4065-2014-59-6-63-70
Abstract
The diagnosis and treatment of life-threatening arrhythmias after surgical correction of congenital heart diseases is one the urgent problems in pediatrlc cardiology. The paper describes the clinical picture, diagnosis, and therapy in a patent with transient complete atrioventricular block after open heart surgery. A protracted Morgagni—Adams—Stokes attack is one of the causes of sudden cardiac death. The occurrence of even single syncopes in patients after surgery for congenital heart disease requires that the arrhythmogenic nature of the attack should be ruled out for the timely and adequate therapy including the implantation of antiarrhythmic devices.
About the Authors
D. R. Sabirova
Kazan State Medical Academy
Russian Federation
Russian Federation
V. T. Saidova
Republican Children's Clinical Hospital, Kazan
Russian Federation
Russian Federation
L. M. Mirolyubov
Kazan State Medical Academy
Russian Federation
Russian Federation
References
1. Kertesz N.J., Friedman R.A., Fenrich A.L. et al. The incidence of perioperative arrhythmias. In: S. Balaji, EC. Gillette, C.L. Case (eds). Cardiac arrhythmias after surgery for congenital heart disease. Arnold, 2001; 50—63.
2. Weindling S.N., Saul J.P., Gamble W.J. et al. Duration of complete atrioventricular block after congenital heart disease surgery. Am J Cardiol 1998; 82: 4: 525—527.
3. Бокерия О.Л. Пери- и послеоперационные аритмии у детей: причины возникновения, подходы к лечению. Анналы аритмологии2005; 1: 25—35. (BokeriyaO.L. Peri- and postoperative arrhythmias in children: development causes and treatment strategies. Annaly aritmologii 2005; 1: 25—35.)
4. Бокерия О.Л. Современные подходы к лечению остро развившихся аритмий у детей. Детские болезни сердца и сосудов 2004; 1: 5—13. (Bokeriya О. L. Current approaches to the treatment of acute arrhythmias in children. Detskie bolezni serdca i sosudov 2004; 1: 5—13.)
5. Кушаковский М.С. Аритмии сердца. Руководство для врачей. СПб.: Гиппократ, 1992; 544. (Kushakovskij M. S. Cardial arrhythmias. Guide for physicians. SPb.: Hippocrates 1992; 544.)
6. Школьникова М.А. Жизнеугрожающие аритмии у детей. М., 1999; 230. (Shkol'nikova M.A. Life-threatening arrhythmias in children. Moscow, 1999; 230.)
Review
For citations:
Sabirova D.R., Saidova V.T., Mirolyubov L.M. Transient complete atrioventricular block with Morgagni—Adams—Stokes attacks in a child after aortic valve replacement. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2014;59(6):70-73. (In Russ.) https://doi.org/10.21508/1027-4065-2014-59-6-63-70
Views:
1214
Email this article 