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Dextrocardia with complete AV block and the implantation of a temporary pacemaker before cesarean section: A case report
RATIONALE: Patients with situs inversus totalis (SIT) and complete atrioventricular (AV) block are extremely rare, and only few cases have been reported up to now. Due to the rarity of such condition and its anatomical complexity, we reported this case as a reference for obstetricians, providing val...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831432/ https://www.ncbi.nlm.nih.gov/pubmed/31027067 http://dx.doi.org/10.1097/MD.0000000000015211 |
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author | Yao, Changfang Wang, Xiaoqing Zhang, Jinggang Qiu, Lan Ye, Wenfeng Wang, Chaoping |
author_facet | Yao, Changfang Wang, Xiaoqing Zhang, Jinggang Qiu, Lan Ye, Wenfeng Wang, Chaoping |
author_sort | Yao, Changfang |
collection | PubMed |
description | RATIONALE: Patients with situs inversus totalis (SIT) and complete atrioventricular (AV) block are extremely rare, and only few cases have been reported up to now. Due to the rarity of such condition and its anatomical complexity, we reported this case as a reference for obstetricians, providing valuable insights into potential clinical treatment. PATIENT CONCERNS: We reported a case of 30-year-old patient with complete AV block, and her heart rate was only about 45 beats per minute. DIAGNOSES: The patient was diagnosed with term delivery with SIT and complete AV block. INTERVENTIONS: A temporary pacemaker (TPM) was implanted before cesarean section (CS) because of complete AV block. OUTCOMES: CS was performed successfully after the implantation of a TPM. The heart rate remained stable, and the 24-hour blood loss was limited. LESSONS: This study presents a complex heart disease case which needed more frequent antenatal examination and restriction of physical activity. To reduce the risk of pregnancy, basic disease needed to be cured before pregnancy. Our findings could provide guidance for future clinical studies. |
format | Online Article Text |
id | pubmed-6831432 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-68314322019-11-19 Dextrocardia with complete AV block and the implantation of a temporary pacemaker before cesarean section: A case report Yao, Changfang Wang, Xiaoqing Zhang, Jinggang Qiu, Lan Ye, Wenfeng Wang, Chaoping Medicine (Baltimore) 7400 RATIONALE: Patients with situs inversus totalis (SIT) and complete atrioventricular (AV) block are extremely rare, and only few cases have been reported up to now. Due to the rarity of such condition and its anatomical complexity, we reported this case as a reference for obstetricians, providing valuable insights into potential clinical treatment. PATIENT CONCERNS: We reported a case of 30-year-old patient with complete AV block, and her heart rate was only about 45 beats per minute. DIAGNOSES: The patient was diagnosed with term delivery with SIT and complete AV block. INTERVENTIONS: A temporary pacemaker (TPM) was implanted before cesarean section (CS) because of complete AV block. OUTCOMES: CS was performed successfully after the implantation of a TPM. The heart rate remained stable, and the 24-hour blood loss was limited. LESSONS: This study presents a complex heart disease case which needed more frequent antenatal examination and restriction of physical activity. To reduce the risk of pregnancy, basic disease needed to be cured before pregnancy. Our findings could provide guidance for future clinical studies. Wolters Kluwer Health 2019-04-26 /pmc/articles/PMC6831432/ /pubmed/31027067 http://dx.doi.org/10.1097/MD.0000000000015211 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | 7400 Yao, Changfang Wang, Xiaoqing Zhang, Jinggang Qiu, Lan Ye, Wenfeng Wang, Chaoping Dextrocardia with complete AV block and the implantation of a temporary pacemaker before cesarean section: A case report |
title | Dextrocardia with complete AV block and the implantation of a temporary pacemaker before cesarean section: A case report |
title_full | Dextrocardia with complete AV block and the implantation of a temporary pacemaker before cesarean section: A case report |
title_fullStr | Dextrocardia with complete AV block and the implantation of a temporary pacemaker before cesarean section: A case report |
title_full_unstemmed | Dextrocardia with complete AV block and the implantation of a temporary pacemaker before cesarean section: A case report |
title_short | Dextrocardia with complete AV block and the implantation of a temporary pacemaker before cesarean section: A case report |
title_sort | dextrocardia with complete av block and the implantation of a temporary pacemaker before cesarean section: a case report |
topic | 7400 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831432/ https://www.ncbi.nlm.nih.gov/pubmed/31027067 http://dx.doi.org/10.1097/MD.0000000000015211 |
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