Bailout Deep Septal LV Pacing to Treat Inadvertent Complete AV Block During Complex Ablation Procedure

Dmytro Volkov, MD, DMedSc; Dmytro Lopin, MD; Dmytro Skoriy, MD; Carola Gianni, MD, PhD; Vincenzo Mirko La Fazia, MD; G. Joseph Gallinghouse, MD; Rodney Horton, MD; John D. Burkhardt, MD; Sanghamitra Mohanty, MD, MS; Andrea Natale, MD

JACC: Case Reports (Mar 2024)

Bailout Deep Septal LV Pacing to Treat Inadvertent Complete AV Block During Complex Ablation Procedure

Dmytro Volkov, MD, DMedSc,
Dmytro Lopin, MD,
Dmytro Skoriy, MD,
Carola Gianni, MD, PhD,
Vincenzo Mirko La Fazia, MD,
G. Joseph Gallinghouse, MD,
Rodney Horton, MD,
John D. Burkhardt, MD,
Sanghamitra Mohanty, MD, MS,
Andrea Natale, MD

Affiliations

Dmytro Volkov, MD, DMedSc: Department of Electrophysiology, Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, Austin, Texas, USA; Institute of General and Urgent Surgery of NAMS, Kharkiv, Ukraine
Dmytro Lopin, MD: Institute of General and Urgent Surgery of NAMS, Kharkiv, Ukraine
Dmytro Skoriy, MD: Institute of General and Urgent Surgery of NAMS, Kharkiv, Ukraine
Carola Gianni, MD, PhD: Department of Electrophysiology, Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, Austin, Texas, USA
Vincenzo Mirko La Fazia, MD: Department of Electrophysiology, Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, Austin, Texas, USA
G. Joseph Gallinghouse, MD: Department of Electrophysiology, Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, Austin, Texas, USA
Rodney Horton, MD: Department of Electrophysiology, Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, Austin, Texas, USA
John D. Burkhardt, MD: Department of Electrophysiology, Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, Austin, Texas, USA
Sanghamitra Mohanty, MD, MS: Department of Electrophysiology, Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, Austin, Texas, USA
Andrea Natale, MD: Department of Electrophysiology, Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, Austin, Texas, USA; Interventional Electrophysiology, Scripps Clinic, San Diego, California, USA; Department of Internal Medicine, Metro Health Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA; Address for correspondence: Dr Andrea Natale, Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, 3000 N. I-35, Suite 720, Austin, Texas 78705, USA.

Journal volume & issue: Vol. 29, no. 5
p. 102227

Abstract

Read online

We present a case of persistent complete atrioventricular block that occurred during the diagnostic portion of a premature ventricular contractions’ radiofrequency ablation in a complex heart failure patient. The case was managed by bailout deep left ventricular septal pacing after bipolar radiofrequency elimination of premature ventricular contractions.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

Keywords