[Complete AV block in a heart catheter study using a Swan-Ganz catheter].
A case of complete heart block during right heart Swan-Ganz balloon-tipped flow-directed catheterization in a patient with intermittent left bundle branch block after aortic valve replacement is reported. After entrance into the right ventricle with the catheter tip as well as after insertion of a temporary balloon-floated pacemaker electrode symptomatic complete heart block occurred. This case demonstrates that in a patient with intermittent left bundle branch block a complete AV block may occur and therefore the possibility of cardiopulmonary resuscitation and temporary pacing has to be taken in account.
D000368:Aged; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D002037:Bundle-Branch Block / Q000209:etiology; D006328:Cardiac Catheterization / Q000295:instrumentation*; D004562:Electrocardiography; D004566:Electrodes; D005260:Female; D006327:Heart Block / Q000209:etiology*; D006350:Heart Valve Prosthesis; D006439:Hemodynamics; D006801:Humans; D010138:Pacemaker, Artificial; D011183:Postoperative Complications / Q000209:etiology*
Komplette AV-Blockierung während einer Einschwemmkatheteruntersuchung mittels Swan-Ganz-Katheter.