Concurrent Transcatheter Aortic Valve Replacement and Leadless Pacemaker Implantation in a Patient With Aortic Stenosis and Tachycardia-Bradycardia SyndromeNovel Teaching Points
We present a patient with symptomatic severe aortic stenosis and atrial fibrillation complicated by tachycardia-bradycardia syndrome, deemed too high-risk for surgical valve replacement and referred for transcatheter aortic valve replacement. We show that concurrent implantation of a leadless pacema...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-04-01
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| Series: | CJC Open |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589790X20302031 |
| _version_ | 1818970793563914240 |
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| author | Karan Rao, MD, BMed, MPH Suzanne Eshoo, MBBS, BSc (Med), PhD Kujan Nagaratnam, MBBS Ajita Kanthan, MBBS, BMedSc, PhD Peter Fahmy, MBBS, PhD |
| author_facet | Karan Rao, MD, BMed, MPH Suzanne Eshoo, MBBS, BSc (Med), PhD Kujan Nagaratnam, MBBS Ajita Kanthan, MBBS, BMedSc, PhD Peter Fahmy, MBBS, PhD |
| author_sort | Karan Rao, MD, BMed, MPH |
| collection | DOAJ |
| description | We present a patient with symptomatic severe aortic stenosis and atrial fibrillation complicated by tachycardia-bradycardia syndrome, deemed too high-risk for surgical valve replacement and referred for transcatheter aortic valve replacement. We show that concurrent implantation of a leadless pacemaker system can be performed successfully with minimal additional risk to the patient, and also, that it can be used to rapidly pace the ventricles to assist in balloon valvuloplasty and prosthetic aortic valve deployment. Résumé: Nous présentons le cas d’un patient ayant une sténose aortique symptomatique grave et une fibrillation auriculaire compliquée par un syndrome tachycardie-bradycardie, jugé comme présentant un risque trop élevé pour être candidat à un remplacement valvulaire chirurgical, et orienté pour subir un remplacement valvulaire aortique par cathéter. Nous démontrons que l’implantation concomitante d’un système de stimulateur cardiaque sans fil peut être réalisée avec succès tout en entraînant un risque additionnel minime pour le patient, et que celui-ci peut être utilisé pour stimuler rapidement les ventricules afin de faciliter la valvuloplastie par ballonnet et le déploiement de la prothèse valvulaire aortique. |
| first_indexed | 2024-12-20T14:42:08Z |
| format | Article |
| id | doaj.art-466a09ef4d024749b63ecf9d22a1a64b |
| institution | Directory Open Access Journal |
| issn | 2589-790X |
| language | English |
| last_indexed | 2024-12-20T14:42:08Z |
| publishDate | 2021-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | CJC Open |
| spelling | doaj.art-466a09ef4d024749b63ecf9d22a1a64b2022-12-21T19:37:15ZengElsevierCJC Open2589-790X2021-04-0134549551Concurrent Transcatheter Aortic Valve Replacement and Leadless Pacemaker Implantation in a Patient With Aortic Stenosis and Tachycardia-Bradycardia SyndromeNovel Teaching PointsKaran Rao, MD, BMed, MPH0Suzanne Eshoo, MBBS, BSc (Med), PhD1Kujan Nagaratnam, MBBS2Ajita Kanthan, MBBS, BMedSc, PhD3Peter Fahmy, MBBS, PhD4Westmead Hospital, Sydney, New South Wales, Australia; Corresponding author: Dr Karan Rao, Westmead Hospital, Corner Hawkesbury and Darcy Road, Sydney, New South Wales, Australia. Tel.: +011 61 2 8890 5555.Blacktown Hospital, Sydney, New South Wales, Australia; Norwest Private Hospital, Sydney, New South Wales, AustraliaNorwest Private Hospital, Sydney, New South Wales, AustraliaBlacktown Hospital, Sydney, New South Wales, Australia; Norwest Private Hospital, Sydney, New South Wales, AustraliaWestmead Hospital, Sydney, New South Wales, Australia; Blacktown Hospital, Sydney, New South Wales, Australia; Norwest Private Hospital, Sydney, New South Wales, AustraliaWe present a patient with symptomatic severe aortic stenosis and atrial fibrillation complicated by tachycardia-bradycardia syndrome, deemed too high-risk for surgical valve replacement and referred for transcatheter aortic valve replacement. We show that concurrent implantation of a leadless pacemaker system can be performed successfully with minimal additional risk to the patient, and also, that it can be used to rapidly pace the ventricles to assist in balloon valvuloplasty and prosthetic aortic valve deployment. Résumé: Nous présentons le cas d’un patient ayant une sténose aortique symptomatique grave et une fibrillation auriculaire compliquée par un syndrome tachycardie-bradycardie, jugé comme présentant un risque trop élevé pour être candidat à un remplacement valvulaire chirurgical, et orienté pour subir un remplacement valvulaire aortique par cathéter. Nous démontrons que l’implantation concomitante d’un système de stimulateur cardiaque sans fil peut être réalisée avec succès tout en entraînant un risque additionnel minime pour le patient, et que celui-ci peut être utilisé pour stimuler rapidement les ventricules afin de faciliter la valvuloplastie par ballonnet et le déploiement de la prothèse valvulaire aortique.http://www.sciencedirect.com/science/article/pii/S2589790X20302031 |
| spellingShingle | Karan Rao, MD, BMed, MPH Suzanne Eshoo, MBBS, BSc (Med), PhD Kujan Nagaratnam, MBBS Ajita Kanthan, MBBS, BMedSc, PhD Peter Fahmy, MBBS, PhD Concurrent Transcatheter Aortic Valve Replacement and Leadless Pacemaker Implantation in a Patient With Aortic Stenosis and Tachycardia-Bradycardia SyndromeNovel Teaching Points CJC Open |
| title | Concurrent Transcatheter Aortic Valve Replacement and Leadless Pacemaker Implantation in a Patient With Aortic Stenosis and Tachycardia-Bradycardia SyndromeNovel Teaching Points |
| title_full | Concurrent Transcatheter Aortic Valve Replacement and Leadless Pacemaker Implantation in a Patient With Aortic Stenosis and Tachycardia-Bradycardia SyndromeNovel Teaching Points |
| title_fullStr | Concurrent Transcatheter Aortic Valve Replacement and Leadless Pacemaker Implantation in a Patient With Aortic Stenosis and Tachycardia-Bradycardia SyndromeNovel Teaching Points |
| title_full_unstemmed | Concurrent Transcatheter Aortic Valve Replacement and Leadless Pacemaker Implantation in a Patient With Aortic Stenosis and Tachycardia-Bradycardia SyndromeNovel Teaching Points |
| title_short | Concurrent Transcatheter Aortic Valve Replacement and Leadless Pacemaker Implantation in a Patient With Aortic Stenosis and Tachycardia-Bradycardia SyndromeNovel Teaching Points |
| title_sort | concurrent transcatheter aortic valve replacement and leadless pacemaker implantation in a patient with aortic stenosis and tachycardia bradycardia syndromenovel teaching points |
| url | http://www.sciencedirect.com/science/article/pii/S2589790X20302031 |
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