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Ebstein's anomaly, atrial paralysis and atrio-ventricular block: an uncommon association
J Carballal1, E Asensio, R Hernández
1Arrhythmia and Pacing Clinic, Cardiology Department, Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán, Mexico DF. julitocorreo@hotmail.com
Abstract:
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.