Transient left anterior and septal fascicular blocks after self-expandable percutaneous transcatheter aortic valve implantation.
Andrés Ricardo Pérez RieraRaimundo Barbosa-BarrosMariana F Cabral de OliveiraRodrigo Daminello-RaimundoLuiz C de AbreuKjell NikusPublished in: Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc (2018)
Transcatheter aortic valve implantation (TAVI) is indicated in severe symptomatic aortic stenosis, when there is intermediate-high surgical risk, or a condition considered inoperable, as in the case of "porcelain aorta" that could turn clamping or cannulation of the ascending aorta hazardous in open-heart surgery. Among the complications of this less invasive procedure, intraventricular conduction disorders subsequent to the procedure stand out. TAVI causes worsening of intraventricular dromotropic disorders in more than 75% of the cases, with the presence of preexisting right bundle branch block and first-degree atrioventricular block, deep prosthesis implant, male gender, size of the aortic annulus smaller than the prosthesis, and porcelain aorta being predictive of requirement for permanent pacemaker implant.
Keyphrases
- aortic valve
- transcatheter aortic valve implantation
- aortic stenosis
- minimally invasive
- aortic valve replacement
- transcatheter aortic valve replacement
- ultrasound guided
- pulmonary artery
- soft tissue
- heart failure
- risk factors
- extracorporeal membrane oxygenation
- early onset
- squamous cell carcinoma
- coronary artery bypass
- left ventricular
- vena cava
- ejection fraction
- coronary artery
- pulmonary embolism
- pulmonary hypertension
- atrial fibrillation
- pulmonary arterial hypertension
- rectal cancer
- acute coronary syndrome
- surgical site infection
- blood brain barrier
- coronary artery disease