Iatrogenic Transient Complete Heart Block in a Preexisting LBBB

Catheter induced cardiac arrhythmia is a well-known complication encountered during pulmonary artery or cardiac catheterization. Injury to the cardiac conducting system often involves the right bundle branch which in a patient with preexisting left bundle branch block can lead to fatal arrhythmia in...

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Main Authors: Adil S. Wani, Adebayo Fasanya, Prachi Kalamkar, Christopher A. Bonnet, Omer A. Bajwa
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2016/9531210
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author Adil S. Wani
Adebayo Fasanya
Prachi Kalamkar
Christopher A. Bonnet
Omer A. Bajwa
author_facet Adil S. Wani
Adebayo Fasanya
Prachi Kalamkar
Christopher A. Bonnet
Omer A. Bajwa
author_sort Adil S. Wani
collection DOAJ
description Catheter induced cardiac arrhythmia is a well-known complication encountered during pulmonary artery or cardiac catheterization. Injury to the cardiac conducting system often involves the right bundle branch which in a patient with preexisting left bundle branch block can lead to fatal arrhythmia including asystole. Such a complication during central venous cannulation is rare as it usually does not enter the heart. The guide wire or the cannula itself can cause such an injury during central venous cannulation. The length of the guide wire, its rigidity, and lack of set guidelines for its insertion make it theoretically more prone to cause such an injury. We report a case of LBBB that went into transient complete heart block following guide wire insertion during a central venous cannulation procedure.
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institution Kabale University
issn 2090-6420
2090-6439
language English
publishDate 2016-01-01
publisher Wiley
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series Case Reports in Critical Care
spelling doaj-art-d915cd2b2e634686842717f2a4f502e72025-02-03T01:10:02ZengWileyCase Reports in Critical Care2090-64202090-64392016-01-01201610.1155/2016/95312109531210Iatrogenic Transient Complete Heart Block in a Preexisting LBBBAdil S. Wani0Adebayo Fasanya1Prachi Kalamkar2Christopher A. Bonnet3Omer A. Bajwa4Department of Medicine, Allegheny General Hospital, Pittsburgh, PA 15212, USADepartment of Pulmonary-Critical Care, Allegheny General Hospital, Pittsburgh, PA 15212, USADepartment of Medicine, Conemaugh Memorial Medical Center, Johnstown, PA 15905, USADepartment of Clinical Cardiac Electrophysiology, Allegheny General Hospital, Pittsburgh, PA 15212, USADepartment of Pulmonary-Critical Care, Allegheny General Hospital, Pittsburgh, PA 15212, USACatheter induced cardiac arrhythmia is a well-known complication encountered during pulmonary artery or cardiac catheterization. Injury to the cardiac conducting system often involves the right bundle branch which in a patient with preexisting left bundle branch block can lead to fatal arrhythmia including asystole. Such a complication during central venous cannulation is rare as it usually does not enter the heart. The guide wire or the cannula itself can cause such an injury during central venous cannulation. The length of the guide wire, its rigidity, and lack of set guidelines for its insertion make it theoretically more prone to cause such an injury. We report a case of LBBB that went into transient complete heart block following guide wire insertion during a central venous cannulation procedure.http://dx.doi.org/10.1155/2016/9531210
spellingShingle Adil S. Wani
Adebayo Fasanya
Prachi Kalamkar
Christopher A. Bonnet
Omer A. Bajwa
Iatrogenic Transient Complete Heart Block in a Preexisting LBBB
Case Reports in Critical Care
title Iatrogenic Transient Complete Heart Block in a Preexisting LBBB
title_full Iatrogenic Transient Complete Heart Block in a Preexisting LBBB
title_fullStr Iatrogenic Transient Complete Heart Block in a Preexisting LBBB
title_full_unstemmed Iatrogenic Transient Complete Heart Block in a Preexisting LBBB
title_short Iatrogenic Transient Complete Heart Block in a Preexisting LBBB
title_sort iatrogenic transient complete heart block in a preexisting lbbb
url http://dx.doi.org/10.1155/2016/9531210
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