Ventricular standstill complicating left heart catheterization in the presence of uncomplicated right bundle branch block.
We report the unusual occurrence of complete heart block during attempted right coronary artery cannulation in a patient with pre-existing uncomplicated right bundle branch block (RBBB). This complication occurred due to accidental impingement of the Judkin's right coronary catheter on the left bundle when it transiently slipped across the aortic valve. The block resolved without any complication.
Gaglani
R D
RD
Mount Carmel Medical Center, Columbus, Ohio 43222.
Turk
A A
AA
Mehra
M R
MR
Lach
R D
RD
D000368:Aged; D000369:Aged, 80 and over; D002036:Bundle of His / Q000503:physiopathology; D002037:Bundle-Branch Block / Q000503:physiopathology*; D006328:Cardiac Catheterization / Q000295:instrumentation*; D002304:Cardiac Pacing, Artificial; D017023:Coronary Angiography / Q000295:instrumentation*; D004562:Electrocardiography; D005260:Female; D006327:Heart Block / Q000503:physiopathology*; D006352:Heart Ventricles / Q000503:physiopathology*; D006801:Humans