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Complete atrioventricular block in a child with normal cardiac functions
S. Gökhan Beyaz¹, Yusuf Akdoğan¹, Orhan Tokgöz²
1 - Çocuk Hastalıkları Hastanesi, Anesteziyoloji ve Reanimasyon Bölümü, Diyarbakır
2 - Diyarbakır Devlet Hastanesi Anesteziyoloji ve Reanimasyon Bölümü, Diyarbakır
Dicle Med J 2009; 36 (2):
ICID: 886233

Article type: Case report

IC™ Value: 2.93

Abstract provided by Publisher

Complete atrioventricular block is a rare complication in noncardiac operations of children, though it is life threatening. Complete atrioventicular block may occur secondary to many causes and it does not response to medical treatments. An 11 years-old girl was brought to our hospital with fever and abdominal pain finally diagnosed as acute appendicitis. Anamnesis, physical examination, laboratory findings and radiological findings were found to be normal. After anesthesia induction, the mask ventilation has been applied. Intubation was performed after giving muscle relaxants. After first surgical incision multiple arrhythmias were monitored. Cardiac arrhythmias continue long time and complete A-V block developed. Arrhythmias did not respond to medical treatment. The patient showed no hemodynamic instability and she awakened after completion of surgical operation. She was sent to intensive care unit because of complete A-V block. Pacemaker was not applied because of not having any symptom. A patient who was diagnosed as congenital complete AV block has been followed up with regular intervals.

ICID 886233

FULL TEXT 331 KB

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