Syncope due to sinus node dysfunction after surgical patch closure of atrial septal defect--a case report/ Sinkopa zbog disfunkcije sinusnog cvora nakon hirurskog zatvaranja atrijalnog septalnog defekta--prikaz slucaja

Citation metadata

Authors: Larisa Dizdarevic Hudic, Zumreta Kusljugic, Irma Bijedic and Igor Hudic
Date: May-June 2017
From: Medicinski Pregled(Vol. 70, Issue 5-6)
Publisher: Drustvo Lekara Vojvodine
Document Type: Case study
Length: 1,835 words

Main content

Abstract :

Introduction. Sick sinus syndrome, a frequent cause of syncope, refers to a combination of symptoms caused by sinus node dysfunction. Case report. We report the case of a 38-year-old female patient presenting with recurrent syncope, who underwent surgical patch closure of atrial septal defect three years before admission. Ambulatory twenty-four-hour Holter monitoring was done capturing only sinus tachycardia. A series of examinations were warranted after admission, and recurrent syncope was found to be the result of sinus node dysfunction. This syndrome rarely occurs after surgical closure of atrial septal defect. The patient underwent permanent pacemaker implantation. Conclusion. A rigorous search for every possible cause of syncope is mandatory. A structural, multidisciplinary approach is required in order to achieve an optimal outcome. Key words: Sick Sinus Syndrome; Syncope; Tachycardia; Postoperative Complications; Pacemaker, Artificial; Heart Septal Defects, Atrial Uvod. Sinkopa je iznenadni i kratki gubitak svesti sa gubitkom posturalnog tonusa i najcesce spontanim oporavkom. Postoje brojni uzroci sinkope. Sindrom bolesnog sinusnog cvora, tzv. sik sinus sindrom, odnosi se na kombinaciju simptoma kao sto su konfuzija ili sinkopa uzrokovane bolescu sinusnog cvora. Prikaz slucaja. Prikazan je slucaj 38-godisnje bolesnice sa istorijom sinkope. Pre tri godine podvrgnuta je hirurskom zahvatu zatvaranja pretkomorskog septalnog defekta. Ambulantni 24-satni monitoring holterom kod nase pacijentkinje pokazao je samo sinusnu tahikardiju. Ostale ambulantne analize takode su bile u granicama normale. Nakon niza pretraga, uz multidisciplinarni pristup i ponavljanje monitoringa holterom utvrdeno je da je sinkopa rezultat disfunkcije sinusnog cvora kao retke komplikacije hiruskog zatvaranja pretkomorskog septalnog defekta. Potom je podvrgnuta implantaciji vestackog vodica srcanog ritma--pejsmejkera. Zakljucak. Treba pomno istraziti sve moguce usroke sinkope uz poseban akcenat na multidisciplinarni pristup pacijentu. Kljucne reci: disfunkcija sinusnog cvora; sinkopa; postoperativne komplikacije; pejsmejker; pretkomorski septalni defekt

Source Citation

Source Citation
Hudic, Larisa Dizdarevic, et al. "Syncope due to sinus node dysfunction after surgical patch closure of atrial septal defect--a case report/ Sinkopa zbog disfunkcije sinusnog cvora nakon hirurskog zatvaranja atrijalnog septalnog defekta--prikaz slucaja." Medicinski Pregled, vol. 70, no. 5-6, 2017, p. 167+. Accessed 27 Oct. 2020.
  

Gale Document Number: GALE|A503775539