Ebstein's anomaly, atrial paralysis and atrio-ventricular block: an uncommon association.
We report here the case of a 22-year-old female patient with an incomplete Ebstein's anomaly, complete heart block and atrial standstill. Atrial paralysis associated with Ebstein's anomaly is the most important feature, since there is a report of familial Ebstein's anomaly associated with atrial standstill but isolated cases have not been described. The patient presented with atypical chest pain and a symptomatic bradycardia of 37 beats per minute. A VVIR pacemaker was implanted. She has subsequently been symptom free.
Carballal
J
J
Arrhythmia and Pacing Clinic, Cardiology Department, Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán, Mexico DF. julitocorreo@hotmail.com
Asensio
E
E
Hernández
R
R
Narváez
R
R
Gómez
M
M
Dorantes
J
J
Orea
A
A
Rebollar
V
V
Oseguera
J
J
D000328:Adult; D001919:Bradycardia / Q000628:therapy; D002304:Cardiac Pacing, Artificial; D004437:Ebstein Anomaly / Q000150:complications*; D022062:Electrophysiologic Techniques, Cardiac; D005260:Female; D006325:Heart Atria; D006327:Heart Block / Q000150:complications*; D006801:Humans