Permanent Complete Heart Block Following Surgical Correction of Congenital Heart Disease
dc.contributor.author | Edwin, F. | |
dc.contributor.author | Aniteye, E. | |
dc.contributor.author | Tettey, M. | |
dc.contributor.author | Sereboe, L. | |
dc.contributor.author | Kotei, D. | |
dc.contributor.author | Tamatey, M. | |
dc.contributor.author | Entsua-Mensah, K. | |
dc.contributor.author | Frimpong-Boateng, K. | |
dc.date.accessioned | 2019-10-09T09:20:48Z | |
dc.date.available | 2019-10-09T09:20:48Z | |
dc.date.issued | 2010-09 | |
dc.description | Journal Article | en_US |
dc.description.abstract | Background: 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.uri | http://www.ghanamedj.org/articles/September2010/Final%20Permanent%20complete%20heart%20block.pdf | |
dc.identifier.uri | http://ugspace.ug.edu.gh/handle/123456789/32547 | |
dc.language.iso | en | en_US |
dc.publisher | Ghana Medical Journal | en_US |
dc.relation.ispartofseries | 44;3 | |
dc.subject | Congenital heart defect | en_US |
dc.subject | Complete Heart Block | en_US |
dc.subject | Pacemaker | en_US |
dc.subject | Ventricular Septal Defect | en_US |
dc.subject | Morbidity | en_US |
dc.title | Permanent Complete Heart Block Following Surgical Correction of Congenital Heart Disease | en_US |
dc.type | Article | en_US |
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