Complete Atrioventricular Block Caused by Retrograde Transaortic Approach

A 61-year-old female was referred for catheter ablation of symptomatic and frequent premature ventricular complexes presented with right bundle branch block and a prominent inferior frontal plane QRS axis. A retrograde transaortic approach was routinely performed. A sustained complete atrioventricul...

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Autores principales: Chen, Songwen, Lu, Xiaofeng, Zhang, Qitong, Wei, Yong, Zhou, Genqing, Liu, Shaowen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9505963/
https://www.ncbi.nlm.nih.gov/pubmed/36135438
http://dx.doi.org/10.3390/jcdd9090293
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author Chen, Songwen
Lu, Xiaofeng
Zhang, Qitong
Wei, Yong
Zhou, Genqing
Liu, Shaowen
author_facet Chen, Songwen
Lu, Xiaofeng
Zhang, Qitong
Wei, Yong
Zhou, Genqing
Liu, Shaowen
author_sort Chen, Songwen
collection PubMed
description A 61-year-old female was referred for catheter ablation of symptomatic and frequent premature ventricular complexes presented with right bundle branch block and a prominent inferior frontal plane QRS axis. A retrograde transaortic approach was routinely performed. A sustained complete atrioventricular block was repeatedly encountered while the ablation catheter was attempting to cross the aortic valve with different curves and manipulations. The procedure was abandoned. The mechanical atrioventricular block could only have been caused by the retrograde transaortic approach. We should be cautious when performing a retrograde transaortic catheter manipulation in some patients.
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spelling pubmed-95059632022-09-24 Complete Atrioventricular Block Caused by Retrograde Transaortic Approach Chen, Songwen Lu, Xiaofeng Zhang, Qitong Wei, Yong Zhou, Genqing Liu, Shaowen J Cardiovasc Dev Dis Case Report A 61-year-old female was referred for catheter ablation of symptomatic and frequent premature ventricular complexes presented with right bundle branch block and a prominent inferior frontal plane QRS axis. A retrograde transaortic approach was routinely performed. A sustained complete atrioventricular block was repeatedly encountered while the ablation catheter was attempting to cross the aortic valve with different curves and manipulations. The procedure was abandoned. The mechanical atrioventricular block could only have been caused by the retrograde transaortic approach. We should be cautious when performing a retrograde transaortic catheter manipulation in some patients. MDPI 2022-09-03 /pmc/articles/PMC9505963/ /pubmed/36135438 http://dx.doi.org/10.3390/jcdd9090293 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Chen, Songwen
Lu, Xiaofeng
Zhang, Qitong
Wei, Yong
Zhou, Genqing
Liu, Shaowen
Complete Atrioventricular Block Caused by Retrograde Transaortic Approach
title Complete Atrioventricular Block Caused by Retrograde Transaortic Approach
title_full Complete Atrioventricular Block Caused by Retrograde Transaortic Approach
title_fullStr Complete Atrioventricular Block Caused by Retrograde Transaortic Approach
title_full_unstemmed Complete Atrioventricular Block Caused by Retrograde Transaortic Approach
title_short Complete Atrioventricular Block Caused by Retrograde Transaortic Approach
title_sort complete atrioventricular block caused by retrograde transaortic approach
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9505963/
https://www.ncbi.nlm.nih.gov/pubmed/36135438
http://dx.doi.org/10.3390/jcdd9090293
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