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Implantation of Total Artificial Heart in Congenital Heart Disease

Implantation of Total Artificial Heart in Congenital Heart Disease

Published on: July 18, 2014

Slow progressing cardiac complications-a case report.

Jonathan C Williams¹, William C Elkington

¹Associate Professor, Northwestern Health Sciences University, Bloomington, MN 55431.

Journal of Chiropractic Medicine

|August 14, 2009

Summary

A motor vehicle accident caused a rare, gradual onset of complete heart block. This case highlights the need for monitoring patients with exertional bradycardia after chest trauma.

Area of Science:

Cardiology
Trauma Medicine

Background:

Chest trauma from motor vehicle accidents can lead to cardiac complications.
Sudden deceleration injuries may affect the heart's electrical conduction system.

Purpose of the Study:

To report an uncommon case of complete heart block developing after chest trauma.
To emphasize the importance of monitoring for delayed cardiac issues post-injury.

Main Methods:

Case presentation of a 51-year-old male following a motor vehicle accident.
Clinical evaluation including stress electrocardiogram and monitoring of symptoms over 4 months.
Diagnosis of complete atrioventricular block requiring pacemaker implantation.

Main Results:

Patient developed exertional bradycardia and shortness of breath within 48 hours post-accident.

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Implantation of Total Artificial Heart in Congenital Heart Disease

Implantation of Total Artificial Heart in Congenital Heart Disease

Published on: July 18, 2014

Symptoms progressed over 4 months, initially suggesting a vagal sympathetic reflex.

Complete atrioventricular block with ventricular pacing at 35-40 bpm necessitated pacemaker insertion.

Conclusions:

Gradual progression to complete atrioventricular block over 3 weeks post-trauma is unusual.
Patients with exertional bradycardia and shortness of breath after chest trauma require sustained monitoring.
Delayed cardiac conduction abnormalities should be considered in post-traumatic evaluations.