caa a22 4500 445824360 CHVBK 20180317145254.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00246-011-0062-1 doi (NATIONALLICENCE)springer-10.1007/s00246-011-0062-1 Commotio Cordis Presenting as a Temporary Complete Atrioventricular Block in a 2-Year-Old Girl With Congenitally Corrected Transposition of the great Arteries [Elektronische Daten] [Shuhei Fujita, Taichi Nakamura, Uta Koura, Akiko Toga, Shihomi Ina, Hiroyuki Higashiyama, Takeshi Futatani, Shoetsu Shimura, Noboru Igarashi, Kiyoshi Hatasaki] This report describes a 2-year-old girl with congenitally corrected transposition of the great arteries (ccTGA) who presented with transient complete atrioventricular (AV) block after a mild chest blow. Running around the house with her older sister, she fell to the floor. Her sister also fell and landed on her. The girl became cyanotic and pale and experienced a transient loss of consciousness. At arrival to the emergency department, she had regained consciousness, but she remained pale. An electrocardiogram (ECG) demonstrated complete AV block with a heart rate of 78 beats per minute (bpm). The ECG after admission showed a Wenckebach-type second-degree AV block. Day 2 after admission, a 12-lead ECG showed significant ST and T-wave abnormalities in the precordial leads, but the girl had no chest pain and a normal physical examination. Echocardiography demonstrated normal contractility of the systemic right ventricle. The first-degree AV block and the ST and T-wave abnormalities on the 12-lead ECG improved gradually without abnormal Q-waves. This is the first report of ccTGA in which a transient complete AV block naturally recovered after a presentation with commotio cordis. Springer Science+Business Media, LLC, 2011 Commotio cordis nationallicence Complete atrioventricular block nationallicence Congenitally corrected transposition of great arteries nationallicence Fujita Shuhei Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut Nakamura Taichi Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut Koura Uta Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut Toga Akiko Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut Ina Shihomi Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut Higashiyama Hiroyuki Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut Futatani Takeshi Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut Shimura Shoetsu Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut Igarashi Noboru Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut Hatasaki Kiyoshi Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut Pediatric Cardiology Springer-Verlag 32/7(2011-10-01), 1043-1047 0172-0643 32:7<1043 2011 32 246 https://doi.org/10.1007/s00246-011-0062-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-011-0062-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fujita Shuhei Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut NATIONALLICENCE 700 1- Nakamura Taichi Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut NATIONALLICENCE 700 1- Koura Uta Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut NATIONALLICENCE 700 1- Toga Akiko Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut NATIONALLICENCE 700 1- Ina Shihomi Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut NATIONALLICENCE 700 1- Higashiyama Hiroyuki Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut NATIONALLICENCE 700 1- Futatani Takeshi Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut NATIONALLICENCE 700 1- Shimura Shoetsu Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut NATIONALLICENCE 700 1- Igarashi Noboru Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut NATIONALLICENCE 700 1- Hatasaki Kiyoshi Department of Pediatric, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae-cho, Toyama-shi, 930-8550, Toyama, Japan aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/7(2011-10-01), 1043-1047 0172-0643 32:7<1043 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer