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Challenging right ventricular pacing in a patient with transitional atrioventricular septal defect Cover

Challenging right ventricular pacing in a patient with transitional atrioventricular septal defect

Romanian Journal of Cardiology
Volume 35 (2025): Issue 1 (March 2025)
By: Flavia-Mihaela Stoiculescu,  Diana-Ruxandra Hădăreanu,  Adrian Ungureanu,  Cristiana Gianina Moise,  Cristina Florescu and  Ionuţ Donoiu  
Open Access
|Mar 2025

Figures & Tables

Figure 1

12-lead ECG showing atrial fibrillation with ventricular rate of 72 beats per minute, right bundle branch block, QS complex in V2-V6, extreme right QRS axis deviation, and QTc interval of 508 ms.
12-lead ECG showing atrial fibrillation with ventricular rate of 72 beats per minute, right bundle branch block, QS complex in V2-V6, extreme right QRS axis deviation, and QTc interval of 508 ms.

Figure 2

Transthoracic echocardiography modified apical 4-chambers view: large single atrium (A), dilated right ventricle (RV), small pericardial fluid (*), left ventricle (LV), mitral valve (MV), tricuspid valve (TV).
Transthoracic echocardiography modified apical 4-chambers view: large single atrium (A), dilated right ventricle (RV), small pericardial fluid (*), left ventricle (LV), mitral valve (MV), tricuspid valve (TV).

Figure 3

Transthoracic echocardiography modified apical 4-chambers view, color doppler: severe tricuspid regurgitation.
Transthoracic echocardiography modified apical 4-chambers view, color doppler: severe tricuspid regurgitation.

Figure 4

Postero-anterior chest X-ray showing the positioning of the pacemaker lead (*).
Postero-anterior chest X-ray showing the positioning of the pacemaker lead (*).

Figure 5

Classification of atrioventricular septal defects. AVSD atrioventricular septal defect; LA, left atrium; LV, left ventricle; RA, right atrium; RV, right ventricle; AV, atrioventricular.
Classification of atrioventricular septal defects. AVSD atrioventricular septal defect; LA, left atrium; LV, left ventricle; RA, right atrium; RV, right ventricle; AV, atrioventricular.
DOI: https://doi.org/10.2478/rjc-2025-0003 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
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Language: English
Page range: 64 - 69
Published on: Mar 31, 2025
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
congenital heart disease,
atrioventricular septal defect,
syncope,
pulmonary hypertension
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Cardiology,
Surgery,
Cardiac surgery,
Pediatrics and juvenile medicine,
Paediatric cardiology

© 2025 Flavia-Mihaela Stoiculescu, Diana-Ruxandra Hădăreanu, Adrian Ungureanu, Cristiana Gianina Moise, Cristina Florescu, Ionuţ Donoiu, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.

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