Risk Factors and Outcomes of Complete Heart Block in Children after Surgical Closure of Ventricular Septal Defects: The Role of Pacemaker Therapy

Background: Many issues might arise with surgical closure, such as postoperative pain, sternotomy scar, and arrhythmias well heart block. The purpose of this study was to identify the risk factors for complete block (CHB) among children following ventricular septal defect (VSD) closure. Methods: This retrospective work performed on 126 pediatric individuals, a history VSD closure surgically. There were two groups participants: Group 1 (Post-surgical CHB group): (n=42) had CHB. 2 non (n=84) without Results: Temporary Pacemaker needed in 11 cases (26.19%), temporary then endocardial pacemaker occurred 21 (50%), epicardial 3 (7.14%), 7 (16.67%). No complications 38 (90.48%), sepsis after one week case (2.38%). Body weight at type VSD, mean pulmonary arterial pressure (mPAP) before surgery procedure time independent significant predictors occurrence (P<0.05). Conclusions: Low body large peri-membranous inlet high mPAP or VSD. therapy is only beneficial post-operative