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  • Title: Atrioventricular block after transcatheter closure of perimembranous ventricular septal defects.
    Author: Walsh MA, Bialkowski J, Szkutnik M, Pawelec-Wojtalik M, Bobkowski W, Walsh KP.
    Journal: Heart; 2006 Sep; 92(9):1295-7. PubMed ID: 16449504.
    Abstract:
    OBJECTIVE: To look at the presentation, treatment and outcome of patients who developed atrioventricular block after transcatheter closure of a perimembranous ventricular septal defect (PMVSD) with the Amplatzer PMVSD device. SETTING: Three tertiary referral centres for paediatric cardiology in two countries. RESULTS: All three patients presented within 10 days of the procedure. All three patients were treated with intravenous steroids. A permanent pacemaker was inserted in all patients but no pacemaker required activation after two months. CONCLUSION: Complete atrioventricular block occurring in the weeks after device occlusion of a PMVSD appears to resolve quickly. Continued involvement in multicentre device databases is required to monitor safety.
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