PEDIATRICS Vol. 69 No. 6 June 1982, pp. 728-733
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Diagnosis, Management, and Long-Term Results of Patients with Congenital Complete Atrioventricular Block

William W. Pinsky MD1, Paul C. Gillette MD1, Arthur Garson Jr MD1, and Dan G. McNamara MD1

1 Section of Cardiology, Department of Pediatrics, University of Nebraska Medical Center, Omaha; and Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospial, Houston

Sixty-five patients with congenital complete atrioventricular block have been studied. The median age at time of diagnosis was 7 months with 26 infants being diagnosed prior to 1 month of age. Anatomic heart disease was present in 25/65 (39%) infants, with ventricular inversion/L-transposition of great arteries complex occurring in 20/25 infants (80%). The site of block was above the bundle of His in 11 of 18 (61%) patients studied, in the bundle of His in three of 18 (17%), and below the bundle of His in two of 18 (11%). Permanent pacemakers were implanted in 17 (26%). Ten patients (15%) have died. The highest risk was in patients with anatomic heart disease and patients diagnosed early in life.

Submitted on February 26, 1981
Accepted on July 16, 1981




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