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Abstract
A síndrome do nó sinusal está comumente vinculada às lesoes de células sinusais ou da junçao sinoatrial ou a afecçoes do tecido intersticial que circunda essas células. Nos casos avançados, o marcapasso cardíaco artificial é o tratamento mais difundido. O caso descrito relata a síndrome do nó sinusal de um paciente em evoluçao tardia do pós-operatório de operaçao de Mustard e Senning com complicaçoes anatômicas, levando à necessidade de implante de marcapasso definitivo, após angioplastia do trajeto, utilizando a veia cava superior.
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