{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T02:58:11Z","timestamp":1783997891344,"version":"3.55.0"},"reference-count":9,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2012,6,26]],"date-time":"2012-06-26T00:00:00Z","timestamp":1340668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:p>Postoperative Heart Block in Congenital Heart Disease.<\/jats:p><jats:p><jats:italic>Introduction: <\/jats:italic>Cardiac conduction system injury is a cause of postoperative cardiac morbidity following repair of congenital heart disease (CHD). The national occurrence of postoperative complete heart block (CHB) following surgical repair of CHD is unknown. We sought to describe the occurrence of and costs related to postoperative CHB following surgical repair of common forms of CHD using a large national database.<\/jats:p><jats:p><jats:italic>Methods and Results:\u2002<\/jats:italic>Retrospective, observational analysis performed over a 10\u2010year period (2000\u20132009) using the Kids\u2019 Inpatient Database (KID). Visits for patients \u226424 months of age were identified who underwent surgical repair of ventricular septal defects (VSD), atrioventricular canal defects (AVC), and tetralogy of Fallot (TOF). Patients were identified who were diagnosed with postoperative CHB, further identifying those requiring a new pacemaker placement during the same hospitalization. Costs associated with visits were calculated. There were 16,105 surgical visits: 7,146 VSD, 3,480 AVC, and 5,480 TOF. There was a decrease in postoperative mortality (P = 0.0001) with no significant change in postoperative CHB. Hospital stay and cost were higher with CHB and placement of a permanent pacemaker. Repair of AVC (OR 1.77; [1.32\u20132.38]) was associated with a higher rate of postoperative CHB. Length of hospital stay and total cost were significantly increased with the development of postoperative CHB and increased further with placement of a permanent pacemaker.<\/jats:p><jats:p><jats:italic>Conclusion:\u2002<\/jats:italic>There has been little change over time in the frequency of postoperative CHB in patients undergoing repair of VSD, AVC, and TOF. Postoperative CHB results in major added cost to the healthcare system. <jats:italic>(J Cardiovasc Electrophysiol, Vol. 23, pp. 1349\u20101354, December 2012)<\/jats:italic><\/jats:p>","DOI":"10.1111\/j.1540-8167.2012.02385.x","type":"journal-article","created":{"date-parts":[[2012,6,27]],"date-time":"2012-06-27T04:43:05Z","timestamp":1340772185000},"page":"1349-1354","source":"Crossref","is-referenced-by-count":62,"title":["Postoperative Heart Block in Children with Common Forms of Congenital Heart Disease: Results from the KID Database"],"prefix":"10.1111","volume":"23","author":[{"given":"JEFFREY B.","family":"ANDERSON","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RICHARD J.","family":"CZOSEK","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"TIMOTHY K.","family":"KNILANS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KARTHIKEYAN","family":"MEGANATHAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"PAMELA","family":"HEATON","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,6,26]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"181","article-title":"Early and late postoperative complete heart block in pediatric patients submitted to open\u2010heart surgery for congenital heart disease","volume":"20","author":"Bonatti V","year":"1998","journal-title":"Pediatr Med Chir"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(98)00375-0"},{"key":"e_1_2_6_4_2","first-page":"436","article-title":"Chronic postsurgical complete heart block with particular reference to prognosis, management, and a new P\u2010wave pacemaker","volume":"46","author":"Lillehei CW","year":"1963","journal-title":"J Thorac Cardiovasc Surg"},{"key":"e_1_2_6_5_2","first-page":"e350","article-title":"American College of Cardiology\/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC\/AHA\/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices); American Association for Thoracic Surgery; Society of Thoracic Surgeons:. ACC\/AHA\/HRS 2008 Guidelines for Device\u2010Based Therapy of Cardiac Rhythm Abnormalities: A report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC\/AHA\/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices). Developed in collaboration with the American Association for Thoracic Surgery and Society of Thoracic Surgeons","volume":"117","author":"Epstein AE","year":"2008","journal-title":"Circulation"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-032301281-2.50010-2"},{"key":"e_1_2_6_7_2","unstructured":"Agency for Healthcare Research and Quality.HCUP KID Database Documentation. Healthcare Cost and Utilization Project (HCUP).2009;http:\/\/www.hcup\u2010us.ahrq.gov\/db\/nation\/kid\/kiddbdocumentation.jsp. Accessed January 2011."},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.102.suppl_3.III-136"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.12.060"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200010000-00006"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1540-8167.2012.02385.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1540-8167.2012.02385.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T20:13:15Z","timestamp":1698696795000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1540-8167.2012.02385.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,6,26]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2012,12]]}},"alternative-id":["10.1111\/j.1540-8167.2012.02385.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1540-8167.2012.02385.x","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,6,26]]}}}