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Updated: Nov 2, 2025

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
[Dyspnea and palpitations in a 39-year-old male patient]
Dorothea Matthiae1, Charalampos Kriatselis2
1Klinik für Innere Medizin - Kardiologie, Angiologie, Nephrologie und konservative Intensivmedizin, Vivantes Klinikum Neukölln, Rudower Str. 48, 12351, Berlin, Deutschland. dorothea.matthiae@vivantes.de.
Abstract:
A 39-year-old male patient presented with dyspnea and palpitations. The electrocardiogram (ECG) showed a first degree atrioventricular (AV) block and frequent atrial extra systoles. Within the following 48 h the AV block gradually developed into a third degree intermittent complete AV block. The patient history included an untreated tick bite 2 months before presentation. The serological proof of antibodies confirmed the diagnosis of Lyme carditis and antibiotic treatment with ceftriaxon i.v. was initiated. Normal AV conduction finally resumed and the symptoms subsided completely without any further clinical consequences.
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