A Case of Transient Complete Heart Block During Left Heart Catheterization

被引：0
|
作者：
Koirala, Sushant [1 ]
Qarajeh, Raed [2 ]
Collado, Fareed [2 ]
机构：
[1] Rush Univ, Med Ctr, Internal Med, Chicago, IL 60612 USA
[2] Rush Univ, Med Cardiol, Med Ctr, Chicago, IL USA
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 06期
关键词：
left heart catheterization; intraprocedure complication; iatrogenic transient heart block; aortic valve; disease; cardiac electrophysiology; COMPLETE ATRIOVENTRICULAR-BLOCK; CONDUCTION DISTURBANCES; MANAGEMENT;
D O I：
10.7759/cureus.62161
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Iatrogenic complete heart blocks are rare but a reported complication of left heart catheterizations in patients with pre-existing right bundle branch blocks. We present the case of an 84-year-old male with a preexisting right bundle branch block who underwent a left heart catheterization for valve replacement evaluation. While attempting to engage the right coronary artery, the catheter instead crossed the aortic valve, causing the patient to become bradycardic to the 20s and hypotensive. The patient had a temporary transvenous pacer inserted and tolerated the rest of the procedure well. The cause of the complete heart block was thought to be due to the transient blockage of the left bundle branch due to ventricular septal irritation when the catheter crossed the aortic valve. When performing left heart angiograms in a patient with a right bundle branch block, operators should be prepared for a possible iatrogenic complete heart block.
引用
收藏
页数：5
相关论文
共 50 条
  • [1] COMPLETE ATRIOVENTRICULAR-BLOCK INDUCED DURING LEFT HEART CATHETERIZATION
    KUROKI, M
    IKEDA, U
    NODA, T
    HOSODA, S
    YAGINUMA, T
    JAPANESE HEART JOURNAL, 1991, 32 (04): : 511 - 514
  • [2] COMPLETE ATRIOVENTRICULAR-BLOCK DURING LEFT-HEART CATHETERIZATION
    MURASATO, Y
    NINOMIYA, K
    IMAI, M
    ARAKI, M
    KAWASAKI, I
    IBAYASHI, H
    ABE, H
    KUROIWA, A
    JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION, 1994, 58 (08): : 671 - 675
  • [3] COMPLETE HEART-BLOCK COMPLICATING RETROGRADE LEFT HEART CATHETERIZATION
    FEIT, A
    KIPPERMAN, R
    URSELL, S
    REDDY, CVR
    CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS, 1990, 20 (02): : 131 - 132
  • [4] COMPLETE HEART-BLOCK COMPLICATING RETROGRADE LEFT HEART CATHETERIZATION
    FEIT, A
    CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS, 1993, 28 (03): : 269 - 269
  • [5] COMPLETE HEART-BLOCK DURING RETROGRADE LEFT-SIDED CARDIAC-CATHETERIZATION
    MCBRIDE, W
    HILLIS, LD
    LANGE, RA
    AMERICAN JOURNAL OF CARDIOLOGY, 1989, 63 (05): : 375 - 376
  • [6] A HEART BLOCK CONUNDRUM: UNIQUE CASE OF NONISCHEMIC MYOPERICARDITIS AND A TRANSIENT COMPLETE HEART BLOCK
    Shah, Shruti
    Patel, Ketul
    Toklu, Bora
    Ameen, Abdul
    CHEST, 2023, 164 (04) : 712A - 713A
  • [7] Transient complete heart block during radiofrequency ablation of a left lateral bypass tract
    Stamato, NJ
    Eddy, SL
    Whiting, DJ
    PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1996, 19 (09): : 1351 - 1354
  • [8] Transient Congenital Complete Heart Block: A Case Report
    Ju, Ying-Tzu
    Wei, Yu-Jen
    Hsieh, Ming-Ling
    Wang, Jieh-Neng
    Wu, Jing-Ming
    CHILDREN-BASEL, 2021, 8 (09):
  • [9] COMPLETE HEART-BLOCK COMPLICATING RETROGRADE LEFT-HEART CATHETERIZATION OF PATIENTS WITH CARDIAC ALLOGRAFTS
    SACK, JB
    MACALPIN, R
    GERBER, R
    GUPTA, VK
    SHERMAN, CT
    YEATMAN, L
    CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS, 1992, 26 (03): : 219 - 223
  • [10] The Surface Electrocardiogram Predicts Risk of Heart Block During Right Heart Catheterization in Patients With Preexisting Left Bundle Branch Block: Implications for the Definition of Complete Left Bundle Branch Block
    Padanilam, Benzy J.
    Morris, Kent E.
    Olson, Jeff A.
    Rippy, Janet S.
    Walsh, Mary Norine
    Subramanian, Natrajan
    Vidal, Alex
    Prystowsky, Eric N.
    Steinberg, Leonard A.
    JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2010, 21 (07) : 781 - 785
12345