Junctional ectopic tachycardia and late recovery of postoperative complete heart block in a young adult

-Postoperative JET can occur after cardiac surgery for CHD in adulthood. This life-threatening complication should be known by adult physician community as it may require specific therapeutics.-In this adult case of postoperative JET, oral administration of Ivabradine was the most effective treatment after failure of intravenous Amiodarone and betablocker.-The occurrence of JET in the setting of postoperative CHB could predict future recovery, even late, of AV conduction.-This report presents the timeline of a case of late recovery of AV conduction following cardiac surgery but cannot serve as evidence supporting systematic strategy of prolonged monitoring without permanent pacing.