Complete atrioventricular block during thoracic endovascular aortic repair
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Date
2019-07
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer - Medknow
Abstract
Acute coronary syndrome (ACS) and acute aortic syndrome (AAS) are both life-threatening emergencies. We report a case of ACS with thoracic aneurysm. Thoracic endovascular aortic repair (TEVAR) was arranged. However, perioperative complete atrioventricular block occurred and soon progressed to ST-elevation myocardial infarction. In the case of chest discomfort with elevated troponin I and thoracic aneurysm, it is of tremendous importance to cope with both ACS and the possible AAS. In the era of hybrid operation room, coronary catheterization and intervention first followed by TEVAR may provide timely and more comprehensive treatment.
Description
Keywords
Acute coronary syndrome, aortic aneurysm, atrioventricular block
Citation
Shyu Hao-Nung, Li Po-Han, Liu Shih-Kai, Chiang Yi-Ying. Complete atrioventricular block during thoracic endovascular aortic repair. Annals of Cardiac Anaesthesia. 2019 Jul; 22(3): 325-327