Complete heart block developing during aortic valvuloplasty.
We report the occurrence of CHB consequent to ABV in an 80-year-old white woman with calcific aortic stenosis. The patient underwent ABV with a balloon 20 mm in diameter, resulting in only a modest increase in aortic valve area and a decrease in aortic valve gradient. The procedure was complicated by transient intermittent CHB which required temporary transvenous pacemaking and resolved within 72 hours. A second ABV was performed four weeks later with a balloon 23 mm in diameter. This was complicated by persistent CHB which required placement of a dual-chamber pacemaker.
Plack
R H
RH
Department of Medicine, Johns Hopkins Medical Institution, Baltimore.
Porterfield
J K
JK
Brinker
J A
JA
D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000150:complications / Q000628:therapy*; D002404:Catheterization / Q000009:adverse effects*; D004562:Electrocardiography; D005260:Female; D006327:Heart Block / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000150:complications; D010138:Pacemaker, Artificial; D012595:Scleroderma, Systemic / Q000150:complications