Khan Javaid Arif, Hussain Mushtaq, Rizvi Nadeem H, Fehmi Nadeem, Hussain Akhtar, Sial Jawaid A
Department of Cardiology, National Institute of Cardiovascular Diseases, Karachi.
J Coll Physicians Surg Pak. 2013 Oct;23(10):745-7. doi: 10.2013/JCPSP.745747.
A 26 years old male presented with vertigo and history of fall. The electrocardiogram revealed 2:1 second-degree heart block and later progression to complete heart block. Transthoracic echocardiography revealed aneurysm at the site of ascending aorta and computed tomographic scan showed an aneurysm of right sinsus of Valsalva extending into right atrioventricular and interventricular groove and causing complete heart block by compression on the conduction system. He also suffered from lymph node tuberculosis. This case report is unique because of rare presentation as complete heart block.
