Unexpected complete AV block following transcatheter ablation of a left posteroseptal accessory pathway.
Radiofrequency catheter ablation is the procedure of choice for the nonpharmacological treatment of AV connections that are responsible for debilitating tachycardia. This article describes a patient with a manifest left posteroseptal accessory pathway and recurrent syncopes in whom a transient complete AV block occurred after transcatheter radiofrequency ablation of the left posteroseptal pathway. Three electrical abnormalities were present in this patient: AV infra-Hisian block, a left posteroseptal accessory pathway, and an AV nodal reentry tachycardia. This case report reminds you that one should be prepared for all fall backs during catheter ablation.
Seidl
K
K
Department of Cardiology, Herzzentrum Ludwigshafen, Germany.
Hauer
B
B
Zahn
R
R
Senges
J
J
D001283:Atrioventricular Node / Q000503:physiopathology; D002036:Bundle of His / Q000503:physiopathology; D017115:Catheter Ablation / Q000009:adverse effects*; D004562:Electrocardiography; D005500:Follow-Up Studies; D006327:Heart Block / Q000209:etiology* / Q000503:physiopathology; D006329:Heart Conduction System / Q000601:surgery*; D006346:Heart Septum / Q000294:innervation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D013575:Syncope / Q000601:surgery; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000601:surgery; D013617:Tachycardia, Supraventricular / Q000601:surgery