title: [Interpretation of the right bundle-branch block appearing after repair of ventricular septal defect].
abstract: Based on a study of 43 cases the authors attempt to assess the exact aetiology of the appearance of right bundle branch block, which is seen very frequently after repair of a ventricular septal defect. A comparison of the electrocardiograms with the anatomical type of VSD, the surgical approach, and the size of the septal defect would seem to indicate that a monofascicular block by a lesion of the right branch of the bundle of His is responsible. The correlations are not, however, absolute, and in a certain number of cases a simple peripheral lesion was to blame. The importance of precise knowledge of the case of the branch is that it is possible that first a bi- and then a tri-fasicular block will develop; this means that complete atrioventricular block is one of the long-term sequelae of surgery. In the authors' experience of 43 cases, only one tri-fascicular block developed.
mesh_terms: D000293:Adolescent; D000328:Adult; D002037:Bundle-Branch Block / Q000175:diagnosis*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006327:Heart Block / Q000209:etiology; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D008722:Methods; D011183:Postoperative Complications / Q000175:diagnosis*
vernacular_title: Interprétation du bloc de branche droit apparaissant après réparation d'une communication interventriculaire