Irreversible delayed complete heart block secondary to jailed first septal perforator following PCI of the left anterior descending coronary artery.

Sadiq, M.A.; Azman, W.; Abidin, I.Z. (0201) Irreversible delayed complete heart block secondary to jailed first septal perforator following PCI of the left anterior descending coronary artery. Journal of Invasive Cardiology, 24 (1). ISSN 1042-3931

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Abstract

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.

Item Type: Article
Creators:
  1. Sadiq, M.A.
  2. Azman, W.
  3. Abidin, I.Z.
Journal or Publication Title: Journal of Invasive Cardiology
Additional Information: Cardiology Unit, Department of Medicine, University Malaya Medical Centre, 50603 Kuala Lumpur, Malaysia. matharsadiq@gmail.com
Uncontrolled Keywords: Cardiology
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Mr. Faizal Hamzah
Date Deposited: 04 Jul 2012 08:55
Last Modified: 04 Jul 2012 08:55
URI: http://eprints.um.edu.my/id/eprint/3466

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