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Europace 2002 4(4):451-454; doi:10.1053/eupc.2002.0261
© 2002 by European Society of Cardiology
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CASE REPORT

Ebstein's anomaly, atrial paralysis and atrio-ventricular block: an uncommon association

J. Carballal, E. Asensio, P. Hernández, R. Narváez, M. Gómez, J. Dorantes, A. Orea, V. Rebollar and J. Oseguera

Arrhythmia and Pacing Clinic, Cardiology Department, Instituto Nacional de Ciencias Médicas y Nutrición, ‘Salvador Zubirán’ México D.F.

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.

Key Words: Ebstein's anomaly, atrial standstill, complete atrio-ventricular block, VVIR pacemaker

Correspondence: Dr Enrique Asensio Lafuente, Dr Julio Carballal Sanjurjo, Clínica de Arritmias y Marcapasos, Departamento de Cardiología, Instituto Nacional de Ciencias Médicas y Nutrición, ‘Salvador Zubirán’, Vasco de Quiroga # 15, Col. Sección XVI, Tlalpan, México 14000 D.F., México. Tel.: (525) 573 1200; Fax: (525) 655 3306. e-mail: julitocorreo{at}hotmail.com; easensio{at}avantel.net


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