TY - JOUR
T1 - Irreversible delayed complete heart block secondary to jailed first septal perforator following PCI of the left anterior descending coronary artery
AU - Sadiq, M. Athar
AU - Azman, Wan
AU - Abidin, Imran Zainal
PY - 2012/1
Y1 - 2012/1
N2 - Permanent complete heart block (CHB) secondary to the loss of first septal perforator after percutaneous coronary intervention (PCI) of the left descending artery (LAD) is an extremely rare complication. We describe a case report where a patient underwent PCI of proximal LAD, complicated by loss of first septal perforator, septal infarction, and bifasicular block, which progressed to symptomatic delayed CHB. One week later, the patient required implantation of a permanent pacemaker following failure to wean off the transvenous temporary pacing maker.
AB - Permanent complete heart block (CHB) secondary to the loss of first septal perforator after percutaneous coronary intervention (PCI) of the left descending artery (LAD) is an extremely rare complication. We describe a case report where a patient underwent PCI of proximal LAD, complicated by loss of first septal perforator, septal infarction, and bifasicular block, which progressed to symptomatic delayed CHB. One week later, the patient required implantation of a permanent pacemaker following failure to wean off the transvenous temporary pacing maker.
KW - PCI of LAD
KW - complete heart block
KW - loss of first septal perforator
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M3 - Article
C2 - 22210591
AN - SCOPUS:84864324617
SN - 1042-3931
VL - 24
SP - E13-E15
JO - Journal of Invasive Cardiology
JF - Journal of Invasive Cardiology
IS - 1
ER -