scholarly journals Observations on the Occurrence of Right Bundle-Branch Block Following Open Repair of Ventricular Septal Defects

Circulation ◽  
1960 ◽  
Vol 22 (5) ◽  
pp. 896-900 ◽  
Author(s):  
J. DAVID BRISTOW ◽  
DONALD G. KASSEBAUM ◽  
ALBERT STARR ◽  
HERBERT E. GRISWOLD
Keyword(s):  
Right Bundle Branch Block ◽  
Open Repair ◽  
Ventricular Septal Defects ◽  
Bundle Branch Block ◽  
Septal Defects

Etiology of right bundle-branch block pattern after surgical closure of ventricular-septal defects

1975 ◽  
Vol 90 (1) ◽  
pp. 14-18 ◽  
Author(s):  
Edwin O. Okoroma ◽  
Barbara Guller ◽  
James D. Maloney ◽  
William H. Weidman
Keyword(s):  
Right Bundle Branch Block ◽  
Ventricular Septal Defects ◽  
Bundle Branch Block ◽  
Surgical Closure ◽  
Septal Defects ◽  
Block Pattern

Pacemaker and conduction disturbances in patients with atrial septal defect

2020 ◽  
Vol 30 (7) ◽  
pp. 980-985 ◽  
Author(s):  
Diana H. R. Albæk ◽  
Sebastian Udholm ◽  
Anne-Sif L. Ovesen ◽  
Zarmiga Karunanithi ◽  
Camilla Nyboe ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Atrioventricular Block ◽  
Right Bundle Branch Block ◽  
Septal Defect ◽  
Pacemaker Implantation ◽  
Bundle Branch Block ◽  
Conduction Disturbances ◽  
Septal Defects ◽  
Atrial Septal Defects ◽  
Background Population

AbstractObjective:To determine the prevalence of pacemaker and conduction disturbances in patients with atrial septal defects.Design:All patients with an atrial septal defect born before 1994 were identified in the Danish National Patient Registry, and 297 patients were analysed for atrioventricular block, bradycardia, right bundle branch block, left anterior fascicular block, left posterior fascicular block, pacemaker, and mortality. Our results were compared with pre-existing data from a healthy background population. Further, outcomes were compared between patients with open atrial septal defects and atrial septal defects closed by surgery or transcatheter.Results:Most frequent findings were incomplete right bundle branch block (40.1%), left anterior fascicular block (3.7%), atrioventricular block (3.7%), and pacemaker (3.7%). Average age at pacemaker implantation was 32 years. Patients with defects closed surgically or by transcatheter had an increased prevalence of atrioventricular block (p < 0.01), incomplete right bundle branch block (p < 0.01), and left anterior fascicular block (p = 0.02) when compared to patients with unclosed atrial septal defects. At age above 25 years, there was a considerably higher prevalence of atrioventricular block (9.4% versus 0.1%) and complete right bundle branch block (1.9% versus 0.4%) when compared to the background cohorts.Conclusions:Patients with atrial septal defects have a considerably higher prevalence of conduction abnormalities when compared to the background population. Patients with surgically or transcatheter closed atrial septal defects demonstrated a higher demand for pacemaker and a higher prevalence of atrioventricular block, incomplete right bundle branch block, and left anterior fascicular block when compared to patients with unclosed atrial septal defects.

The Amplatzer® Membranous VSD Occluder and the vulnerability of the atrioventricular conduction system

2007 ◽  
Vol 17 (5) ◽  
pp. 499-504 ◽  
Author(s):  
Gunther Fischer ◽  
Sotiria C. Apostolopoulou ◽  
Spyros Rammos ◽  
Martin B. Schneider ◽  
Per G. Bjørnstad ◽  
...  
Keyword(s):  
Transcatheter Closure ◽  
Complete Heart Block ◽  
Ventricular Septal Defects ◽  
Bundle Branch Block ◽  
Surgical Closure ◽  
Septal Defects ◽  
Amplatzer Occluder ◽  
Initial Results ◽  
Conduction Tissues

AbstractTranscatheter closure of ventricular septal defects with the Amplatzer® Membranous VSD Occluder has yielded promising initial results, but disturbances of conduction, including complete heart block, have been reported. We report our experience with the Amplatzer occluder in 35 patients with a median age 4.5 years, the defects being sized angiographically at 4.4 plus or minus 1.1 millimetres, with a range from 3 to 8 millimetres, and the size of the occluder varying from 4 to 12 millimetres. Over a median follow-up of 2.5 years, the rate of complete closure was 87% and 91%, at 1 and 2 years respectively, while 2 patients required surgical closure of the defect subsequent to the insertion of the device. Persistent regurgitation across the tricuspid valve related to the occluder was observed in 3 patients, and in 6 patients across the aortic valve. Abnormalities of conduction related to the procedure were noted in 7 patients, one-fifth of the cohort. The disturbances were transient in 1 patient, but permanent in 6, in one of the latter progressing after 6 months from left bundle branch block to intermittent Mobitz II second-degree atrioventricular block in association with expansion of the occluder. We conclude that transcatheter closure of perimembranous ventricular septal defects with the Amplatzer occluder is effective with limited complications, but the incidence of immediate and progressive disturbances of conduction related to the proximity of conduction tissues to the rims of the occluder stress the importance of larger and longer studies to assess the safety of this procedure.

The Feasibility and Safety of Interventional Occlusion Treatment of Intracristal Ventricular Septal Defects: Clinical Report of 56 Cases

Cardiology ◽  
2017 ◽  
Vol 137 (4) ◽  
pp. 218-224 ◽  
Author(s):  
Ting Cui ◽  
Wanfeng Sun ◽  
Yanhong He ◽  
Guopei Zhang ◽  
Dajie Wang ◽  
...  
Keyword(s):  
Septal Defect ◽  
Clinical Report ◽  
Valve Regurgitation ◽  
Ventricular Septal Defects ◽  
Residual Shunt ◽  
Bundle Branch Block ◽  
Severe Aortic Regurgitation ◽  
Septal Defects ◽  
Surgery Department

Background: To investigate the feasibility and safety of the O eccentric shape occluder in the interventional occlusion treatment of intracristal ventricular septal defect (IVSD). Methods: A retrospective analysis of the clinical data of 56 IVSD patients treated by interventional occlusion at our center, as well as recording of their intraoperative and postoperative status, was performed. Results: Of the 56 patients, a total of 48 patients underwent successful occlusion during the first surgical attempt. Four patients were transferred to the Surgery Department after occlusion when the largest occluder failed because of large defects. Two patients exhibited aortic valve regurgitation; 1 patient had mild regurgitation, which was not worsened after 6 months of follow-up. One patient had severe aortic regurgitation, and 2 days after the operation, the patient underwent a second operation. One patient exhibited a residual shunt, which was above the occluder; after 1 year of follow-up, re-occlusion was successful and eliminated the shunt. One patient developed complete right bundle branch block. Conclusion: Most IVSD interventional occlusion treatments are feasible and safe.

Results after repair of partial atrio-ventricular septal defects: A 50-year single-center experience

2011 ◽  
Vol 59 (S 01) ◽  
Author(s):  
A Neagoie ◽  
G Aleksieva ◽  
R Sodian ◽  
W Schiller ◽  
R Kozlik-Feldmann ◽  
...  
Keyword(s):  
Single Center ◽  
Ventricular Septal Defects ◽  
Septal Defects ◽  
Single Center Experience

Delayed Closure of Multiple Muscular Ventricular Septal Defects in an Infant after Coarctation Repair and a Hybrid Procedure�A Case Report

2011 ◽  
Vol 14 (1) ◽  
pp. 67 ◽  
Author(s):  
Ireneusz Haponiuk ◽  
Maciej Chojnicki ◽  
Radosaw Jaworski ◽  
Jacek Juciski ◽  
Mariusz Steffek ◽  
...  
Keyword(s):  
Septal Defect ◽  
Color Doppler ◽  
Hybrid Approach ◽  
Ventricular Septal Defects ◽  
Color Doppler Echocardiography ◽  
Septal Defects ◽  
Coarctation Repair ◽  
Step Procedure ◽  
The Right ◽  
Delayed Closure

There are several strategies of surgical approach for the repair of multiple muscular ventricular septal defects (mVSDs), but none leads to a fully predictable, satisfactory therapeutic outcome in infants. We followed a concept of treating multiple mVSDs consisting of a hybrid approach based on intraoperative perventricular implantation of occluding devices. In this report, we describe a 2-step procedure consisting of a final hybrid approach for multiple mVSDs in the infant following initial coarctation repair with pulmonary artery banding in the newborn. At 7 months, sternotomy and debanding were performed, the right ventricle was punctured under transesophageal echocardiographic guidance, and the 8-mm device was implanted into the septal defect. Color Doppler echocardiography results showed complete closure of all VSDs by 11 months after surgery, probably via a mechanism of a localized inflammatory response reaction, ventricular septum growth, and implant endothelization.

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