Top

Cardiovascular Intervention and Therapeutics

Published in:

01-07-2014 | Case Report

A case of delayed complete atrioventricular block and cardiac arrest after percutaneous coronary intervention of left anterior descending coronary artery

Authors: Yasuhiro Hamatani, Takashi Unoki, Hisashi Ogawa, Nobutoyo Masunaga, Mitsuru Abe, Masaharu Akao

Published in: Cardiovascular Intervention and Therapeutics | Issue 3/2014

Abstract

Delayed complete atrioventricular (AV) block due to jailed septal branch during percutaneous coronary intervention (PCI) of left anterior descending artery is a rare complication. Here, we present a case of an elderly male who developed episodes of complete AV block and cardiac arrest 2 days after transient occlusion of the septal branch during PCI, and received permanent pacemaker implantation. This case had shown first-degree AV block plus right bundle branch block before PCI, and the presence of these preexisting conduction abnormalities may have been the underlying mechanism by which the transient occlusion of jailed septal branch cause complete AV block.

Oda H, Tsuchida K, Okamura K, Ozaki K, Takahashi K, Miida T. Two-wire protection of side branches to prevent side branch occlusion during stent implantation for bifurcational lesions. Cardiovasc Interv Ther. 2010;25:112–6.PubMedCrossRef

Spencer FA, Jabbour S, Lessard D, Yarzebski J, Ravid S, Zaleskas V, et al. Two-decade-long trends (1975–1997) in the incidence, hospitalization, and long-term death rates associated with complete heart block complicating acute myocardial infarction: a community-wide perspective. Am Heart J. 2003;145:500–7.PubMedCrossRef

Zimetbaum PJ, Josephson ME. Use of the electrocardiogram in acute myocardial infarction. N Engl J Med. 2003;348:933–40.PubMedCrossRef

Furgerson JL, Sample SA, Gilman JK, Carlson TA. Complete heart block and polymorphic ventricular tachycardia complicating myocardial infarction after occlusion of the first septal perforator with coronary stenting. Cathet Cardiovasc Diagn. 1998;44:434–7.PubMedCrossRef

Pillai RV, Daniel R, Joseph DJ. Complete heart block following occlusion of the first septal perforator after coronary stenting. Indian Heart J. 2005;57:728–30.PubMed

Nee LM, Guttormsen B, Gimelli G. Delayed complete heart block secondary to jailed first septal perforator. J Invasive Cardiol. 2007;19:E338–9.PubMed

Kireyev D, Page B, Young HG. Septal infarction and complete heart block following percutaneous coronary intervention of the left anterior descending coronary artery. J Invasive Cardiol. 2009;21:E48–50.PubMed

Sadiq MA, Azman W, Abidin IZ. Irreversible delayed complete heart block secondary to jailed first septal perforator following PCI of the left anterior descending coronary artery. J Invasive Cardiol. 2012;24:E13–5.PubMed

Chikkabasavaiah NA, Puttegowda B, Panneerselvam A, Ananthakrishna R, Kapanigowda AP, Basavappa R. Remote infarction following percutaneous transluminal septal myocardial ablation: a report of two cases. Cardiovasc Interv Ther. 2011;26:142–6.PubMedCrossRef

10.

Alam M, Dokanish H, Lakkis N. Alcohol septal ablation for hypertrophic obstructive cardiomyopathy: a systematic review of published studies. J Interv Cardiol. 2006;19:319–27.PubMedCrossRef

11.

Fifer MA, Sigwart U. Controversies in cardiovascular medicine. Hypertrophic obstructive cardiomyopathy: alcohol septal ablation. Eur Heart J. 2011;32:1059–64.PubMedCrossRef

12.

Chang SM, Nagueh SF, Spencer WH 3rd, Lakkis NM. Complete heart block: determinants and clinical impact in patients with hypertrophic obstructive cardiomyopathy undergoing nonsurgical septal reduction therapy. J Am Coll Cardiol. 2003;42:296–300.PubMedCrossRef

13.

Hindman MC, Wagner GS, JaRo M, Atkins JM, Scheinman MM, DeSanctis RW, et al. The clinical significance of bundle branch block complicating acute myocardial infarction. Clinical characteristics, hospital mortality, and one-year follow-up. Circulation. 1978;58:689–99.PubMedCrossRef

14.

Epstein AE, DiMarco JP, Ellenbogen KA, Estes NA 3rd, Freedman RA, Gettes LS, et al. ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: a report of the American College of Cardiology/American Heart Association task force on practice guidelines: developed in collaboration with the American Association for Thoracic Surgery and Society of Throacic Surgeons. Circulation. 2008;117:e350–408.PubMedCrossRef

Title: A case of delayed complete atrioventricular block and cardiac arrest after percutaneous coronary intervention of left anterior descending coronary artery
Authors: Yasuhiro Hamatani
Takashi Unoki
Hisashi Ogawa
Nobutoyo Masunaga
Mitsuru Abe
Masaharu Akao
Publication date: 01-07-2014
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 3/2014
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-013-0226-4

2024 ASCO Annual Meeting

Springer Medicine

A case of delayed complete atrioventricular block and cardiac arrest after percutaneous coronary intervention of left anterior descending coronary artery

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2014

Longitudinal stent deformation elongating to left main trunk

Small needle puncture of a central venous occlusion in a hemodialysis patient that could not be traversed by a conventional technique

Transcatheter closure of right-to-left atrial shunt in patients with platypnea-orthodeoxia syndrome associated with aortic elongation

Treatment of coronary artery aneurysm with a drug-eluting, vein-covered stent

Bleeding risk with triple antithrombotic therapy in patients with atrial fibrillation and drug-eluting stents

A giant coronary artery aneurysm with a fistula followed-up for 12 years using the contrast-enhanced computed tomography scan