Heart Block in Unpalliated Complex Adult Congenital Heart Disease

Joshua R. Hirsch, MD; Christopher R. Broda, MD; Peter R. Ermis, MD; Wilson W. Lam, MD; Angeline D. Opina, MD

JACC: Case Reports (Feb 2021)

Heart Block in Unpalliated Complex Adult Congenital Heart Disease

Joshua R. Hirsch, MD,
Christopher R. Broda, MD,
Peter R. Ermis, MD,
Wilson W. Lam, MD,
Angeline D. Opina, MD

Affiliations

Joshua R. Hirsch, MD: Department of Internal Medicine, Baylor College of Medicine, Houston, Texas, USA; Address for correspondence: Dr. Joshua R. Hirsch, Department of Internal Medicine, Baylor College of Medicine, 7200 Cambridge, BCM 903, Suite A10.202, Houston, Texas 77030, USA.
Christopher R. Broda, MD: Department of Pediatrics, Section of Cardiology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas, USA
Peter R. Ermis, MD: Department of Pediatrics, Section of Cardiology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas, USA
Wilson W. Lam, MD: Department of Internal Medicine, Baylor College of Medicine, Houston, Texas, USA; Department of Pediatrics, Section of Cardiology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas, USA; Texas Heart Institute, Baylor St. Luke's Medical Center, Houston, Texas, USA
Angeline D. Opina, MD: Department of Pediatrics, Section of Cardiology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas, USA

Journal volume & issue: Vol. 3, no. 2
pp. 192 – 193

Abstract

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Complete heart block is a common complication for adults with congenital heart disease (CHD). Epicardial pacing is preferred in patients with septal shunting due to risk of thromboembolism. Anatomic changes in complex CHD may preclude surgical epicardial lead placement. Thromboembolism risk reduction in such patients requiring endocardial pacing remains questionable. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

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