Transient first-degree atrioventricular block following intercostal nerve block for vascular ring repair.
Transient first-degree heart block developed following surgery to divide a vascular ring. This unusual complication was related to autonomic impairment secondary to a local nerve block. The role of the autonomic innervation of the atrioventricular node and the potential role of the local anesthetic are reviewed.
Ghaffar
S
S
University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, Dallas, TX 75235-9063, USA.
Scott
W A
WA
D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000503:physiopathology / Q000601:surgery; D002648:Child; D005260:Female; D006327:Heart Block / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007367:Intercostal Nerves / Q000187:drug effects; D009407:Nerve Block / Q000009:adverse effects*; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery