Kugler John D., Gillette Paul C., Gutgesell Howard P., McNamara Dan G.
Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
Cardiovasc Dis. 1981 Jun;8(2):205-209.
Complete atrioventricular heart block (CAVB) most commonly occurs as a complication of cardiac surgery. We report the development of CAVB in an 8-year-old girl with endocardial cushion defect (ECD) who had not undergone a cardiac operation. Although this is the first report of acquired non-surgical CAVB in a child with ECD, we believe that the development of CAVB in patients with unoperated ECD occurs more commonly than is usually realized. An increased awareness of this possibility will allow expedient diagnosis, which is essential to proper treatment. In most cases, the implantation of a permanent ventricular pacemaker will alleviate congestive heart failure or prevent sudden death.
完全性房室传导阻滞（CAVB）最常见于心脏手术的并发症。我们报告了一名8岁患有心内膜垫缺损（ECD）且未接受心脏手术的女孩发生CAVB的情况。尽管这是首例关于未接受手术的ECD患儿获得性非手术性CAVB的报道，但我们认为未接受手术的ECD患者发生CAVB的情况比通常意识到的更为常见。提高对这种可能性的认识将有助于及时诊断，这对于恰当治疗至关重要。在大多数情况下，植入永久性心室起搏器将缓解充血性心力衰竭或预防猝死。
