Reduction of atrioventricular valve regurgitation by atrioventricular sequential pacing for an adult with corrected transposition of the great arteries.
The case of a 64-year-old woman who underwent corrected transposition of the great arteries with significant systemic atrioventricular valve regurgitation and complete atrioventricular block is described. The patient underwent implantation of a DDD-type pacemaker and experienced relief of symptoms after discharge. Follow-up evaluation 30 months after the pacemaker implantation demonstrated a decrease in the cardiothoracic ratio on chest X-ray, the b-type natriuretic peptide level, and regurgitation at the systemic atrioventricular valve.
Department of Cardiovascular Surgery, Otemae Hospital, 1-5-34, Otemae, Chuo-ku, Osaka 540-0008, Japan. haruhk@wa3.so-net.ne.jp
Haruhiko
H
Kondoh
Hajime
H
Ichikawa
Hideo
H
Shintani
D054537:Atrioventricular Block / Q000209:etiology / Q000628:therapy*; D002304:Cardiac Pacing, Artificial; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000209:etiology; D014188:Transposition of Great Vessels / Q000150:complications* / Q000601:surgery