Late recovery of sinus rhythm following perioperative complete atrioventricular block in a child with congenitally corrected transposition

Eric Allen Pasman, Matthew Needleman, Joseph William May

Annals of Pediatric Cardiology 2018 11(3):297-299

We report a patient with l-transposition of the great arteries who developed perioperative complete atrioventricular block at 5 years of age in conjunction with a modified double-switch operation, but had unexpected late recovery of normal sinus rhythm months later. This case highlights that even for patients with l-transposition, which is particularly vulnerable to developing both spontaneous and perioperative complete atrioventricular block, late recovery of atrioventricular node conduction may still be possible after surgery.
via Annals of Pediatric Cardiology