Complete heart block complicating retrograde left ventricular catheterization: case report and review.
Complete heart block (CHB) following retrograde left ventricular catheterization is uncommon. We report a case of transient CHB in a patient with severe aortic stenosis and bifascicular block on the baseline surface electrocardiogram during retrograde left ventricular catheterization. The block resolved spontaneously without sequelae. A review of the literature using MedLine was performed and recommendations for temporary and permanent pacing are outlined.
Shammas
N W
NW
Department of Internal Medicine, University of Rochester School of Medicine and Dentistry, New York.
Lee
J K
JK
Daubert
J P
JP
Pomerantz
R M
RM
D000368:Aged; D001024:Aortic Valve Stenosis / Q000503:physiopathology*; D002037:Bundle-Branch Block / Q000503:physiopathology*; D006328:Cardiac Catheterization; D006327:Heart Block / Q000503:physiopathology*; D006350:Heart Valve Prosthesis; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000503:physiopathology; D008297:Male; D011183:Postoperative Complications / Q000503:physiopathology; D012509:Sarcoma / Q000503:physiopathology / Q000601:surgery; D012983:Soft Tissue Neoplasms / Q000503:physiopathology / Q000601:surgery; D016277:Ventricular Function, Left / Q000502:physiology*