Bundle branch reentrant ventricular tachycardia after transcatheter aortic valve replacement

Singh, Gurjit; Lahiri, Marc K.; Khan, Arfaat; Schuger, Claudio

doi:10.1016/j.hrcr.2016.12.005

Cited by 9 publications

(9 citation statements)

References 15 publications

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“…BBR VT has been recently reported in two cases after TAVR complicated by conduction abnormalities. 5,6 Similar to in our case, both patients presented with arrhythmia soon after the procedure and had relatively preserved LV systolic function.…”

Section: Bundle Branch Reentry After Corrective Valve Surgery and Trasupporting

confidence: 85%

Syncope After Transcatheter Aortic Valve Replacement: Two Faces of Abnormal Intraventricular Conduction

Kocherla

Ward

Horwitz

et al. 2020

J Innov Cardiac Rhythm Manage

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Conduction system damage is the most common complication of transcatheter aortic valve replacement (TAVR), which frequently requires placement of a permanent pacemaker. Bundle branch reentry (BBR) is a well-recognized mechanism of ventricular tachycardia (VT) in the setting of abnormal intraventricular conduction. We describe a case of a patient with post-TAVR intraventricular conduction abnormalities who presented with intermittent advanced atrioventricular block and BBR VT and discuss the potential risks, diagnosis, and management of BBR after TAVR.

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Section: Bundle Branch Reentry After Corrective Valve Surgery and Trasupporting

confidence: 85%

Syncope After Transcatheter Aortic Valve Replacement: Two Faces of Abnormal Intraventricular Conduction

Kocherla

Ward

Horwitz

et al. 2020

J Innov Cardiac Rhythm Manage

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“…BBR-VT with an RBB configuration, where the reverse sequence of activation occurs, is less commonly encountered. 12 It is often seen in patients with acquired heart diseases, which involve the HPS, leading to slow conduction within the Purkinje system and facilitating the occurrence of BBR-VT. Rarely, it can be seen in patients without structural heart disease: Li et al 13 found that prolonged H–V interval in sinus rhythm is not a prerequisite for BBR-VT.…”

Section: Discussionmentioning

confidence: 99%

A Case of Bundle Branch Re-entrant Ventricular Tachycardia 1 Year After Transcatheter Aortic Valve Replacement

Bhullar¹,

Sharma²,

Ma³

et al. 2022

J Innov Cardiac Rhythm Manage.

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“…BBRVT was diagnosed in one-third and occurred most frequently in the early postoperative setting with a median time of 10 days after surgery [5]. Even case reports of BBRVT after transcatheter aortic valve replacement have been described [9]. However, to our knowledge, this is the first time that BBRVT occurred after Yil-AVR.…”

Section: Discussionmentioning

confidence: 99%

Bundle Branch Re-Entrant Ventricular Tachycardia after Minimal Invasive Cardiac Surgery

Vandoren

Phlips

Timmermans

2021

Hearts

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Background: Bundle branch re-entrant ventricular tachycardia (BBRVT) is a monomorphic ventricular arrhythmia with wide QRS complexes caused by re-entrant tachycardia between both bundle branches. BBRVT can occur in a variety of cardiac pathologies with His–Purkinje system (HPS) conduction abnormalities such as dilated cardiomyopathy, coronary artery disease, hypertrophic cardiomyopathy, valvular heart disease and even after aortic valve surgery. Case report: A 62-year-old male patient with an ischemic cardiomyopathy and implantable cardioverter defibrillator (ICD) underwent minimal invasive aortic valve replacement (Yil-AVR) and coronary artery bypass graft (CABG). He was remitted a week later because of relapsing sustained ventricular tachycardia (VT). Electrocardiogram showed a wide QRS tachycardia, which was remarkably similar to the patient’s sinus rhythm. Analysis of ICD revealed the presence of BBRVT. Catheter ablation of the right bundle branch (RBB) was performed. He is currently in clinical follow-up and no reoccurrence of VT has been recorded so far. Conclusion: Patients with known cardiomyopathy can develop BBRVT early after cardiac surgery. To our knowledge, this is the first time that BBRVT occurred after Yil-AVR.

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Bundle branch reentrant ventricular tachycardia after transcatheter aortic valve replacement

Cited by 9 publications

References 15 publications

Syncope After Transcatheter Aortic Valve Replacement: Two Faces of Abnormal Intraventricular Conduction

Syncope After Transcatheter Aortic Valve Replacement: Two Faces of Abnormal Intraventricular Conduction

A Case of Bundle Branch Re-entrant Ventricular Tachycardia 1 Year After Transcatheter Aortic Valve Replacement

Bundle Branch Re-Entrant Ventricular Tachycardia after Minimal Invasive Cardiac Surgery

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