Complete Atrioventricular Block Caused by Retrograde Transaortic Approach

Autor: Songwen Chen, Xiaofeng Lu, Qitong Zhang, Yong Wei, Genqing Zhou, Shaowen Liu
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Cardiovascular Development and Disease, Vol 9, Iss 9, p 293 (2022)
Druh dokumentu: article
ISSN: 2308-3425
DOI: 10.3390/jcdd9090293
Popis: A 61-year-old female was referred for catheter ablation of symptomatic and frequent premature ventricular complexes presented with right bundle branch block and a prominent inferior frontal plane QRS axis. A retrograde transaortic approach was routinely performed. A sustained complete atrioventricular block was repeatedly encountered while the ablation catheter was attempting to cross the aortic valve with different curves and manipulations. The procedure was abandoned. The mechanical atrioventricular block could only have been caused by the retrograde transaortic approach. We should be cautious when performing a retrograde transaortic catheter manipulation in some patients.
Databáze: Directory of Open Access Journals