Commotio Cordis Presenting as a Temporary Complete Atrioventricular Block in a 2-Year-Old Girl With Congenitally Corrected Transposition of the great Arteries
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Shuhei Fujita • Taichi Nakamura • Uta Koura • Akiko Toga • Shihomi Ina • Hiroyuki Higashiyama • Takeshi Futatani • Shoetsu Shimura • Noboru Igarashi
- چاپ و سال / کشور: 2011
Description
This report describes a 2-year-old girl with congenitally corrected transposition of the great arteries (ccTGA) who presented with transient complete atrioventricular (AV) block after a mild chest blow. Running around the house with her older sister, she fell to the floor. Her sister also fell and landed on her. The girl became cyanotic and pale and experienced a transient loss of consciousness. At arrival to the emergency department, she had regained consciousness, but she remained pale. An electrocardiogram (ECG) demonstrated complete AV block with a heart rate of 78 beats per minute (bpm). The ECG after admission showed a Wenckebach-type seconddegree AV block. Day 2 after admission, a 12-lead ECG showed significant ST and T-wave abnormalities in the precordial leads, but the girl had no chest pain and a normal physical examination. Echocardiography demonstrated normal contractility of the systemic right ventricle. The first-degree AV block and the ST and T-wave abnormalities on the 12-lead ECG improved gradually without abnormal Q-waves. This is the first report of ccTGA in which a transient complete AV block naturally recovered after a presentation with commotio cordis.
Pediatr Cardiol DOI 10.1007/s00246-011-0062-1 Received: 23 April 2011 / Accepted: 8 July 2011
