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High-grade atrioventricular block occurring during percutaneous closure of patent foramen ovale: a case report.


ABSTRACT: Background?:Percutaneous closure of patent foramen ovale (PFO) is recommended for patients presenting with PFO-related stroke. Acute high-grade conduction disturbances occurring during PFO closure procedure have not been previously reported. Case summary?:We describe for the first time a case of reversible complete atrioventricular block which occurred during closure of a PFO. Discussion?:We hypothesized that the block was the result of atrioventricular node compression-likely caused by the right-atrial disc of the 35-mm PFO closure device. We suggest implanting smaller devices in order to prevent atrioventricular conduction disturbances.

SUBMITTER: Kibler M 

PROVIDER: S-EPMC7501918 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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High-grade atrioventricular block occurring during percutaneous closure of patent foramen ovale: a case report.

Kibler Marion M   Marzak Halim H   Jesel Laurence L   Ohlmann Patrick P  

European heart journal. Case reports 20200625 4


<h4>Background</h4>Percutaneous closure of patent foramen ovale (PFO) is recommended for patients presenting with PFO-related stroke. Acute high-grade conduction disturbances occurring during PFO closure procedure have not been previously reported.<h4>Case summary</h4>We describe for the first time a case of reversible complete atrioventricular block which occurred during closure of a PFO.<h4>Discussion</h4>We hypothesized that the block was the result of atrioventricular node compression-likely  ...[more]

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