Late atrioventricular block and permanent pacemaker implantation after heart transplantation.
The need for permanent pacemaker implantation due to late atrioventricular (AV) block after heart transplantation is rare. A 59-year-old male patient underwent heart transplantation. He presented with syncope eight months after transplantation. Ambulatory 24-hour Holter monitoring showed predominant sinus rhythm with a mean heart rate of 74 bpm, intermittent second-degree AV block, and high-degree AV block with pauses of up to 10.6 seconds. Percutaneous transvenous endomyocardial biopsy yielded a histologic diagnosis of grade IA rejection according to the ISHLT (International Society of Heart and Lung Transplantation) scoring system. A permanent pacemaker with DDD-R mode was implanted via the left subclavian vein, and he was discharged on the following day without any complication.
Akçakoyun
Mustafa
M
Department of Cardiology, Türkiye Yüksek Ihtisas Heart-Education and Research Hospital, Ankara, Turkey. makcakoyun@yahoo.com
Demir
Ahmet Duran
AD
Ozatik
Mehmet Ali
MA
Küçüker
Seref
S
D054537:Atrioventricular Block / Q000209:etiology* / Q000601:surgery; D002311:Cardiomyopathy, Dilated / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D017147:Defibrillators, Implantable; D017548:Echocardiography, Transesophageal; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial