Late onset complete heart block after transcatheter aortic valve replacement treated with permanent His-bundle pacing.

Abstract

Transcatheter aortic valve replacement (TAVR) is a rapidly growing procedure. Conduction disease post-TAVR is frequent and routinely monitored for periprocedurally. Permanent pacemaker placement is relatively common and usually associated with worse outcomes post-TAVR. We report a case of very late presenting complete heart block post-TAVR treated with His-bundle pacing. Our case underscores the need for larger studies to further evaluate the utility of long-term cardiac monitoring post-TAVR and outcomes of His-bundle pacing in this population.

• Authors: Sati Patel, Khaled Jamoor, Arfaat Khan, Waddah Maskoun
• Journal: Pacing and clinical electrophysiology : PACE (Pacing Clin Electrophysiol) Vol. 44 Issue 1 Pg. 194-198 (01 2021) ISSN: 1540-8159 [Electronic] United States
• PMID: 32940376 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2020 Wiley Periodicals LLC.

Topics

• Aged
• Bundle of His (physiopathology)
• Bundle-Branch Block (physiopathology, therapy)
• Cardiac Pacing, Artificial
• Electrocardiography
• Female
• Heart Block (therapy)
• Humans
• Postoperative Complications (therapy)
• Transcatheter Aortic Valve Replacement