Copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2022; 10(19): 6602-6608
Published online Jul 6, 2022. doi: 10.12998/wjcc.v10.i19.6602
Published online Jul 6, 2022. doi: 10.12998/wjcc.v10.i19.6602
Unusual course of congenital complete heart block in an adult: A case report
Li-Na Su, Man-Yan Wu, Yu-Xia Cui, Chong-You Lee, Jun-Xian Song, Hong Chen, Department of Cardiology, Peking University People’s Hospital, Beijing 100044, China
Author contributions: Su LN and Wu MY reviewed the literature and contributed to manuscript drafting; Cui YX extracted the data and collected the clinical information; Lee CY and Song JX analyzed and interpreted the imaging findings; Chen H revised the manuscript; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong Chen, MD, PhD, Professor, Department of Cardiology, Peking University People’s Hospital, No. 11 Xizhimen South Street, Beijing 100044, China. chenhongbj@medmail.com.cn
Received: December 1, 2021
Peer-review started: December 1, 2021
First decision: January 12, 2022
Revised: January 20, 2022
Accepted: May 13, 2022
Article in press: May 13, 2022
Published online: July 6, 2022
Peer-review started: December 1, 2021
First decision: January 12, 2022
Revised: January 20, 2022
Accepted: May 13, 2022
Article in press: May 13, 2022
Published online: July 6, 2022
Core Tip
Core Tip: Congenital complete heart block (CCHB) is a very rare disorder that is largely diagnosed at the fetal or infant stage. Therefore, it is infrequently diagnosed in adulthood, and the natural history of CCHB in adults is less well known. Despite the controversial literature, permanent pacing is widely recommended for the prevention of sudden death among patients with CCHB. This case illustrated an unexpectedly good course in an adult with CCHB at the onset of syncope who refused permanent pacing but led a normally active life. This suggests that CCHB in adulthood may have good outcomes and does not always require permanent pacing.