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Updated: Feb 6, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Congenital complete heart block in pregnancy
Nurul Iftida Basri1, Shuhaila Ahmad1
1Department of Obstetrics and Gynaecology, UKM Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
Complete heart block (CHB) during pregnancy is rare and requires a team approach. This case highlights the need for temporary and permanent pacemaker insertion for maternal well-being.
Area of Science:
- Cardiology
- Obstetrics
- Maternal-Fetal Medicine
Background:
- Complete heart block (CHB) is a rare condition during pregnancy.
- Management necessitates a multidisciplinary team including obstetricians, cardiologists, anesthetists, and neonatologists.
Observation:
- A 30-year-old patient at 36 weeks gestation presented with asymptomatic congenital CHB and a heart rate of 40-50 bpm.
- Delivery via cesarean section was performed due to breech presentation after failed external cephalic version.
Findings:
- A temporary pacemaker was inserted antenatally.
- The patient required a permanent pacemaker postpartum.
Implications:
- This case underscores the importance of tailored management strategies for pregnant patients with CHB.
- Interdisciplinary collaboration is crucial for optimizing maternal and fetal outcomes in CHB pregnancies.
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