Cor Vasa 2023, 65(5):770-772 | DOI: 10.33678/cor.2023.070

(New-onset conduction disorders after TAVI and the ability of their reparation in practice)

Dagmar Ulrichová
Kardiologické oddělení, Interní klinika, 1. lékařská fakulta Univerzity Karlovy a Ústřední vojenská nemocnice - Vojenská fakultní nemocnice, Praha

Transcatheter aortic valve replacement (TAVI) has become a suitable alternative to surgical aortic valve replacement (SAVR) for patients not accepted by surgeons, but also a preferred method for lower-risk pa- tients, especially in older age groups. However, compared to SAVR, it is burdened with a higher risk of iatrogenic heart rhythm disturbances. These disturbances occur mostly periprocedurally or in the early postoperative period and some of them are fully reversible. Our case report describes the case of a patient after TAVI in whom a new-onset cardiac rhythm disturbance including ongoing syncope was documented. The aim of this case report is to highlight the ability of the conduction system to repair after its mechanical irritation related to the performed TAVI.

Keywords: Conduction disorders, Permanent pacemaker, TAVI

Received: September 11, 2023; Revised: September 11, 2023; Accepted: September 12, 2023; Published: October 15, 2023  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Ulrichová D. (New-onset conduction disorders after TAVI and the ability of their reparation in practice). Cor Vasa. 2023;65(5):770-772. doi: 10.33678/cor.2023.070.
Download citation

References

  1. Vahanian A, Beyersdorf F, Praz F, et al. 2021 ESC/EATS Guidelines for the management of valvular heart disease. Eur Heart J 2022;43:561-632. Go to original source... Go to PubMed...
  2. Mack MJ, Leon MB, Thourani VH, et al. Transcathether aortic- -valve replacement with a balloon-expandable valve in low-risk patients. N Engl J Med 2019;380:1695-1705. Go to original source... Go to PubMed...
  3. Badertscher P, Knecht S, Zeljković I, et al. Management of conduction disorders after transcatheter aortic valve implantation: results of the EHRA survey. Europace 2022;24:1179-1185. Go to original source...
  4. Reiter C, Lambert T, Kellermair J, et al. Delayed total atrioventricular block after transcatheter aortic valve replacement assessed by implantabel loop recorders. JACC Cardiovasc Interv 2021;14:2723-2732. Go to original source... Go to PubMed...
  5. Nazif TM, Chen S, George I, et al. New-onset left bundle branch block after transcatheter aortic valve replacement is associated with adverse long-term clinical outcomes in intermediate-risk patients: an analysis from the PARTNER II trial. Eur Heart J 2019;40:2218-2227. Go to original source... Go to PubMed...
  6. Táborský M, Kautzner J, Fedorco M, et al. Doporučené postupy ESC pro kardiostimulaci a srdeční resynchronizační terapii: aktualizace 2021. Překlad dokumentu připravený Českou kardiologickou společností. Cor Vasa 2022;64(Suppl. 2):7-86. Go to original source...
  7. Popma JJ, Deeb GM, Yakubov SJ, et al. Transcatether aortic--valve replacement with a self-expanding valve in low-risk patiens. N Engl J Med 2019;380:1706-1715. Go to original source... Go to PubMed...

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.





Cor et Vasa

You are accessing a site intended for medical professionals, not the lay public. The site may also contain information that is intended only for persons authorized to prescribe and dispense medicinal products for human use.

I therefore confirm that I am a healthcare professional under Act 40/1995 Coll. as amended by later regulations and that I have read the definition of a healthcare professional.