Objective: To look at the presentation, treatment and outcome of patients who developed atrioventricular block after transcatheter closure of a perimembranous ventricular septal defect (PMVSD) with the Amplatzer PMVSD device.
Setting: Three tertiary referral centres for paediatric cardiology in two countries.
Results: All three patients presented within 10 days of the procedure. All three patients were treated with intravenous steroids. A permanent pacemaker was inserted in all patients but no pacemaker required activation after two months.
Conclusion: Complete atrioventricular block occurring in the weeks after device occlusion of a PMVSD appears to resolve quickly. Continued involvement in multicentre device databases is required to monitor safety.
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Published Online First 8 February 2006
No sponsors were involved in, or contributing financially, to the writing of this paper.
Competing interests: None declared.
Ethical approval to review the patient case notes was obtained from the hospital ethics board in all cases.
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