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Congenital heart disease
Atrioventricular block after transcatheter closure of perimembranous ventricular septal defects
  1. M A Walsh1,
  2. J Bialkowski2,
  3. M Szkutnik2,
  4. M Pawelec-Wojtalik3,
  5. W Bobkowski3,
  6. K P Walsh1
  1. 1Cardiac Department, Our Lady’s Hospital for Sick Children, Dublin, Ireland
  2. 2Department of Congenital Heart Disease & Pediatric Cardiology, Silesian Center for Heart Disease, Zabrze, Poland
  3. 3Poznan University of Medical Sciences, Szpitalna, Poznan, Poland
  1. Correspondence to:
    Dr Kevin P Walsh
    Cardiac Department, Our Lady’s Hospital for Sick Children, Crumlin, Dublin 8, Ireland; kpwalsh{at}oceanfree.net

Abstract

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.

https://doi.org/10.1136/hrt.2005.084988

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    Footnotes

    • 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.