Is steroid therapy enough to reverse complete atrioventricular block after percutaneous perimembranous ventricular septal defect closure?

被引：22
作者：
Butera, Gianfranco [1 ]
Gaio, Gianpiero [1 ]
Carminati, Mario [1 ]
机构：
[1] Policlin San Donato IRCCS, Pediat Cardiol & GUCH Unit, I-20097 San Donato Milanese, Italy
来源：
JOURNAL OF CARDIOVASCULAR MEDICINE | 2009年 / 10卷 / 05期
关键词：
children; complete atrioventricular block; ventricular septal defect; TRANSCATHETER CLOSURE; HEART-BLOCK; OCCLUDER; EXPERIENCE; PACEMAKER; DEVICE;
D O I：
10.2459/JCM.0b013e32832401c2
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Due to the close proximity of the perimembranous ventricular septal defect to the conduction system, complete atrioventricular block may occur after transcatheter closure in around 1-5% of cases. Some authors reported on successful use of steroids and aspirin in reversing complete atrioventricular heart block early after transcatheter closure of perimembranous ventricular septal defect using the Amplatzer membranous ventricular septal defect occluder. In this paper, we report a case of reappearance of complete atrioventricular block requiring a definitive pacemaker implantation after an initial successful reversal using both steroids and aspirin. J Cardiovasc Med 10:412-414 (C) 2009 Italian Federation of Cardiology.
引用
收藏
页码：412 / 414
页数：3
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