Early conduction disorders following percutaneous aortic valve replacement.
BACKGROUND
Percutaneous aortic valve replacement (PAVR) may be an alternative therapy for patients with severe aortic stenosis who are denied valve surgery because of age and comorbidity. Data are few regarding the incidence of early conduction disorders (CD) after PAVR. We examined the incidence and characteristics of CD in the immediate postoperative period after PAVR, and the need for permanent pacemaker (PPM) implantation.


RESULTS
Between June 2007 and June 2008 30 patients (mean age = 82.1 +/- 8.5 years) underwent PAVR in our institution. The incidence of new, postoperative CD, diagnosed by 12-lead or 24-hour Holter electrocardiogram, was 68.0%. Left bundle branch block was the most common conduction abnormality, with an incidence of 45.8%. The incidence of complete atrioventricular block requiring PPM implantation was 20%.


CONCLUSIONS
We observed a higher incidence of early conduction disorders and need for PPM implantation after PAVR than generally reported after surgery. Whether this observation is clinically important requires larger prospective studies and follow up.
Calvi
Valeria
V
Cardiology Department, Ferrarotto Hospital, University of Catania, Catania, Italy. valcalvi@unict.it
Puzzangara
Euglena
E
Pruiti
Giusi Paola
GP
Conti
Sergio
S
Di Grazia
Angelo
A
Ussia
Gian Paolo
GP
Capodanno
Davide
D
Tamburino
Corrado
C
D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D005260:Female; D006327:Heart Block / Q000175:diagnosis* / Q000209:etiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D016896:Treatment Outcome