Septal Branch Occlusion Leading to Complete Heart Block Post-Percutaneous Intervention: A Cautionary Tale in Left Bundle Branch Block Patients

被引：0
|
作者：
Manasrah, Almothana [1 ]
Akel, Tamer [2 ]
Qaqa, Firas [3 ]
机构：
[1] United Hlth Serv, Wilson Med Ctr, Internal Med Dept, Johnson City, NY 13790 USA
[2] St Josephs Univ, Med Ctr, Cardiol Dept, Paterson, NJ USA
[3] Holy Name Med Ctr, Cardiol Dept, Teaneck, NJ USA
来源：
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2025年 / 105卷 / 05期
关键词：
complete heart block; percutaneous intervention complication; septal branch occlusion; side branch occlusion; COMPLETE ATRIOVENTRICULAR-BLOCK; ANTERIOR DESCENDING ARTERY; CORONARY INTERVENTION; PERFORATOR;
D O I：
10.1002/ccd.31451
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 66-year-old man with a baseline electrocardiogram (ECG) showing left bundle branch block developed persistent complete atrioventricular block following stent placement in the proximal left anterior descending artery (LAD), necessitating permanent pacemaker implantation. The complication is believed to have resulted from occlusion of the second septal branch, which likely supplied the right bundle of the His system. During elective interventions targeting the LAD in patients with pre-existing conduction abnormalities, it is crucial to maintain adequate blood flow to the septal perforators.
引用
收藏
页码：1236 / 1240
页数：5
相关论文
共 50 条
  • [21] GUIDE WIRE AS A CAUSE OF COMPLETE HEART-BLOCK IN PATIENTS WITH PREEXISTING LEFT-BUNDLE-BRANCH BLOCK
    EISSA, NT
    KVETAN, V
    ANESTHESIOLOGY, 1990, 73 (04) : 772 - 774
  • [22] Concomitant complete heart block and bundle branch block - A theoretical discussion
    Horine, EF
    Weiss, MM
    JOURNAL OF LABORATORY AND CLINICAL MEDICINE, 1935, 20 : 1167 - 1169
  • [23] Outcome of patients with left bundle branch block
    Nallamothu, N
    Bagetti, B
    Cohen, Y
    Acio, ER
    GuptaBala, S
    VanDecker, W
    Heo, JY
    Iskandrian, AE
    CIRCULATION, 1996, 94 (08) : 2984 - 2984
  • [24] Primary percutaneous coronary intervention in new onset left bundle branch block in post bypass patient
    Lim, W. J.
    Suraya, H.
    Tey, Y. S.
    Azlan, H.
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 2022, 369 : 32 - 32
  • [25] Primary percutaneous coronary intervention in new onset left bundle branch block in post bypass patient
    Lim, W. J.
    Suraya, H.
    Tey, Y. S.
    Azlan, H.
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 2022, 369 : 32 - 32
  • [26] COMPLETE LEFT-BUNDLE BRANCH-BLOCK AND HEART-DISEASE
    CEBALLOS, AA
    DIAZ, RA
    REVISTA CLINICA ESPANOLA, 1981, 162 (1-2): : 21 - 23
  • [27] Mechanisms of septal hypoperfusion on myocardial SPECT in patients with left bundle branch block
    Hida, S.
    Chikamori, T.
    Tanaka, H.
    Igarashi, Y.
    Shiba, C.
    Ohtaki, Y.
    Usui, Y.
    Hatano, T.
    Hirose, K.
    Yamashina, A.
    EUROPEAN HEART JOURNAL, 2010, 31 : 576 - 576
  • [28] A Wide Complex Left Bundle Branch Block Tachycardia in a Patient with Complete Right Bundle Branch Block: What is the Mechanism?
    Tutuianu, Cristina
    Saghy, Laszlo
    Pap, Robert
    JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2015, 26 (07) : 816 - 818
  • [29] CURRENT CONCEPTS OF VENTRICULAR ACTIVATION IN NORMAL HEART, IN LEFT BUNDLE BRANCH BLOCK, AND IN LEFT BUNDLE BRANCH BLOCK WITH MYOCARDIAL INFARCTION
    SCOTT, RC
    AMERICAN HEART JOURNAL, 1962, 64 (05) : 696 - &
  • [30] The ECG in left bundle branch block and heart failure
    Josephson, Mark E.
    Wellens, Hein J. J.
    HEART RHYTHM, 2015, 12 (01) : 250 - 251
12345