• A&A practice · Apr 2018

    Coronary Sinus Catheter-Induced Heart Block During Aortic Valve Replacement: A Case Report.

    • Aaron B Dahl, Teresa Murray-Torres, and Daniel A Emmert.
    • From the Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri.
    • A A Pract. 2018 Apr 1; 10 (7): 161-164.

    AbstractConduction abnormalities after cardiac surgery are common as is spontaneous resolution of these abnormalities. However, 1%-3% of patients will require placement of a permanent pacemaker. Patients with preexisting conduction abnormalities, undergoing reoperation, preexisting pulmonary hypertension and undergoing mitral or aortic valve operations are at a higher risk for requiring a permanent pacemaker. We present the first case described in the literature of a patient with a preexisting left bundle branch block, and heart failure with a reduced left ventricular ejection fraction of 25% who developed complete heart block after placement of a coronary sinus catheter.

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