Abstract
This 10-year old patient underwent implantation of an epicardial dual chamber pacing system for complete atrioventricular block post an interruption of the aortic arch repair and patch closure of two ventricular septal defects in the neonatal period. Serial follow-up indicated a resolution of the complete heart block and minimal utilisation of pacing device. Eight (8) years following the implantation of the device he presented with episodes of presyncope at rest.
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