His-Bundle Pacing in a Patient with Transcatheter Aortic Valve Implantation-Induced Left Bundle Branch Block
Joint Authors
Sen, Jonathan
Mok, Michael
Perrin, Mark
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-08-23
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Transcatheter aortic valve implantation (TAVI) is an effective intervention for severe aortic stenosis in patients at intermediate or high surgical risk, but damage to the native conduction system such as left bundle branch block (LBBB) may offset its benefits.
New onset LBBB is associated with a higher risk of cardiovascular morbidity and mortality.
His-bundle pacing (HBP) may be useful to treat TAVI-induced LBBB but has yet to be reported.
We present the case of a 76-year-old man with severe symptomatic aortic stenosis treated with TAVI.
His preoperative electrocardiogram showed sinus rhythm with a narrow QRS complex.
Insertion of a CoreValve Evolut R transcatheter aortic valve was uneventful apart from the development of LBBB with a long PR interval.
A dual-lead DDD pacemaker was implanted via the left cephalic vein on the following day.
HV was mildly prolonged at 60 ms.
Capture of the proximal His restored AV synchrony without correction of LBBB.
Repositioning of the lead with capture of the left bundle branch enabled complete ventricular resynchronisation with a single lead.
Our case demonstrates that LBBB in the setting of TAVI may be corrected by HBP.
American Psychological Association (APA)
Sen, Jonathan& Mok, Michael& Perrin, Mark. 2018. His-Bundle Pacing in a Patient with Transcatheter Aortic Valve Implantation-Induced Left Bundle Branch Block. Case Reports in Cardiology،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1140935
Modern Language Association (MLA)
Sen, Jonathan…[et al.]. His-Bundle Pacing in a Patient with Transcatheter Aortic Valve Implantation-Induced Left Bundle Branch Block. Case Reports in Cardiology No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1140935
American Medical Association (AMA)
Sen, Jonathan& Mok, Michael& Perrin, Mark. His-Bundle Pacing in a Patient with Transcatheter Aortic Valve Implantation-Induced Left Bundle Branch Block. Case Reports in Cardiology. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1140935
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1140935