Permanent Complete Heart Block Following Surgical Correction of Congenital Heart Disease

dc.contributor.authorEdwin, F.
dc.contributor.authorAniteye, E.
dc.contributor.authorTettey, M.
dc.contributor.authorSereboe, L.
dc.contributor.authorKotei, D.
dc.contributor.authorTamatey, M.
dc.contributor.authorEntsua-Mensah, K.
dc.contributor.authorFrimpong-Boateng, K.
dc.date.accessioned2019-10-09T09:20:48Z
dc.date.available2019-10-09T09:20:48Z
dc.date.issued2010-09
dc.descriptionJournal Articleen_US
dc.description.abstractBackground: The risk of complete heart block (CHB) from congenital heart repairs in Ghana is unknown. This information is important for referring physicians and in pre-operative counselling of patients and facilitates the process of obtaining informed consent for such repairs. Objectives: This study was undertaken to determine the incidence of permanent post-operative CHB requiring pacemaker implantation; and the post-operative problems related to the pacemaker. Design: Retrospective study design. Setting: The National Cardiothoracic Centre (NCTC), Korle-Bu Teaching Hospital, Accra, Ghana. Method: Review of all patients who had intra-cardiac repair of congenital heart disease known to predispose to post-operative complete heart block from January 1993 to December 2008 was carried out with computation of the frequency of complete heart block according to the intra-operative diagnoses. Results: Six out of 242 patients (2.5%) developed permanent post-operative CHB. All underwent closure of a large perimembranous ventricular septal defect (VSD) either as an isolated defect (2 of 151 or 1.3%) or in the setting of conotruncal anomalies (4 of 73 or 5.5%). The dominant parental concern relating to the implanted device was the financial implications of future multiple surgeries to replace a depleted pulse generator. Conclusion: Permanent post-operative complete heart block occurred in 1.3% of patients undergoing VSD repair and 5.5% of those undergoing repair of conotruncal anomalies (Fallot’s tetralogy). The dominant anatomic risk factor was a large perimembranous VSD as an isolated defect or as part of a conotruncal anomaly. Permanent pacemaker implantation in this setting is attended by a low morbidity.en_US
dc.identifier.urihttp://www.ghanamedj.org/articles/September2010/Final%20Permanent%20complete%20heart%20block.pdf
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/32547
dc.language.isoenen_US
dc.publisherGhana Medical Journalen_US
dc.relation.ispartofseries44;3
dc.subjectCongenital heart defecten_US
dc.subjectComplete Heart Blocken_US
dc.subjectPacemakeren_US
dc.subjectVentricular Septal Defecten_US
dc.subjectMorbidityen_US
dc.titlePermanent Complete Heart Block Following Surgical Correction of Congenital Heart Diseaseen_US
dc.typeArticleen_US

Files

License bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
1.6 KB
Format:
Item-specific license agreed upon to submission
Description: