Bifasiküler Blok Saptanması İle Tanı Alan Asemptomatik Bir Atriyoventriküler Septal Defekt Olgusu

Cem Karadeniz; Fikri Demir; Semra Atalay; Ercan Tutar

Case Report

Turk J Pediatr Dis 2013; 7(4): 198-200.

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by Determination of the Bifascicular Block An Asymptomatic Patient with Atrioventricular Septal Defect Diagnosed

Authors

Cem Karadeniz

Fikri Demir

Semra Atalay

Ercan Tutar

Affiliations

Turk J Pediatr Dis 2013; 7(4): 198-200.

Published: December 1, 2013

Abstract

Bifascicular block is defined as left bundle branch block or right bundle branch block associated either with a left anterior or left posterior fascicular block. It can be due to congenital or acquired heart disease. Electrocardiography for preparation before dental extraction therapy under general anesthesia in a 4-year-old girl showed superior QRS axis, right bundle branch block and left anterior hemiblock. Echocardiographic examination revealed complete atrioventricular septal defect that prevented interventricular transition by bridging leaflets. Angiography showed minimal left to right shunt via the primum ASD. Clinical follow-up was decided on as the patient was hemodynamically stable. Primum atrial septal defect can be diagnosed before the development of pulmonary vascular disease by careful assessment of the ECG in asymptomatic patients

Keywords: Atrioventricular septal defect, Electrocardiography, Fascicular block

References

Park MK, Guntheroth WG. How to Read Pediatric ECGs. 4 th ed. Philadelphia: Mosby, 2006: 94
Park MK. Pediatric Cardiology for Practitioners. 5 th ed. Philadelphia: Mosby, 2008:181-7
Singh RR, Warren PS, Reece TB, Ellman P, Peeler BB, Kron Il. Early repair of complete atrioventricular septal defect is safe and effective. Ann Thorac Surg 2006; 82:1598-601.
Ho SY, Russell G, Gerlis lM. Atrioventricular septal defect with intact septal structures in a 74-year-old. Int J Cardiol 1990; 26: 371–3.
Silverman nH, Ho SY, Anderson RH, Smith A, Wilkinson Jl. Atrioventricular septal defect with intact atrial and ventricular septal structures. Int J Cardiol 1984; 5: 567–73.
Piccoli GP, Gerlis lM, Wilkinson Jl, lozsadi K, Macartney FJ, Anderson RH. Morphology and classification of atrioventricular defects. Br Heart J 1979; 42: 621–32.
Thiene G, Wenink AC, Frescura C, Wilkinson Jl, Gallucci V, Ho SY, et al. Surgical anatomy and pathology of the conduction tissues in atrioventricular defects. J Thorac Cardiovasc Surg 1981; 82: 928–37.
Fournier A, Young M, Garcia Ol, Tamer DF, Wolff GS. Electrophysiologic cardiac function before and after surgery in children with atrioventricular canal. Am J Cardiol 1986; 57: 1137–41.

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How to cite

Karadeniz C, Demir F, Atalay S, Tutar E. by Determination of the Bifascicular Block An Asymptomatic Patient with Atrioventricular Septal Defect Diagnosed. Turk J Pediatr Dis [Internet]. 2013 Dec. 1 [cited 2025 May 25];7(4):198-200. Available from: https://turkjpediatrdis.org/article/view/215

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[ref1] Park MK, Guntheroth WG. How to Read Pediatric ECGs. 4 th ed. Philadelphia: Mosby, 2006: 94

[ref2] Park MK. Pediatric Cardiology for Practitioners. 5 th ed. Philadelphia: Mosby, 2008:181-7

[ref3] Singh RR, Warren PS, Reece TB, Ellman P, Peeler BB, Kron Il. Early repair of complete atrioventricular septal defect is safe and effective. Ann Thorac Surg 2006; 82:1598-601.

[ref4] Ho SY, Russell G, Gerlis lM. Atrioventricular septal defect with intact septal structures in a 74-year-old. Int J Cardiol 1990; 26: 371–3.

[ref5] Silverman nH, Ho SY, Anderson RH, Smith A, Wilkinson Jl. Atrioventricular septal defect with intact atrial and ventricular septal structures. Int J Cardiol 1984; 5: 567–73.

[ref6] Piccoli GP, Gerlis lM, Wilkinson Jl, lozsadi K, Macartney FJ, Anderson RH. Morphology and classification of atrioventricular defects. Br Heart J 1979; 42: 621–32.

[ref7] Thiene G, Wenink AC, Frescura C, Wilkinson Jl, Gallucci V, Ho SY, et al. Surgical anatomy and pathology of the conduction tissues in atrioventricular defects. J Thorac Cardiovasc Surg 1981; 82: 928–37.