Permanent His-bundle pacing after atrioventricular node ablation in a patient with chronic atrial fibrillation and mitral regurgitation.
Hemodynamic deterioration because of worsening of mitral regurgitation can occur in a small number of patients undergoing atrioventricular node (AVN) ablation and pacing therapy. Patients with moderate mitral regurgitation before ablation seem prone to this complication. Successful permanent His-bundle pacing after AVN ablation was performed in a patient with chronic atrial fibrillation and moderate mitral regurgitation. Pulmonary capillary wedge pressure V-wave amplitude was markedly diminished and the mitral regurgitation area, calculated from the echocardiogram, was decreased by His-bundle pacing compared with that during right ventricular outflow tract or apical pacing.
Yamauchi
Yasuteru
Y
Cardiology Department, Musashino Red Cross Hospital, Tokyo 180-8610, Japan. yamauchi@musashino.jrc.or.jp
Aonuma
Kazutaka
K
Hachiya
Hitoshi
H
Isobe
Mitsuaki
M
D000368:Aged; D001281:Atrial Fibrillation / Q000503:physiopathology / Q000628:therapy*; D001283:Atrioventricular Node / Q000601:surgery*; D002036:Bundle of His / Q000503:physiopathology*; D002304:Cardiac Pacing, Artificial; D017115:Catheter Ablation; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000503:physiopathology / Q000628:therapy*; D011669:Pulmonary Wedge Pressure