Management of Bradycardia Before Transcatheter Aortic Valve Implantation in a Patient with Mechanical Tricuspid and Mitral Valve Replacement
Abstract
Transcatheter aortic valve implantation (TAVI) has proven to be a safe and effective method, especially in patients with aortic stenosis whose surgical risk score is moderate to high. One of the possible complications after TAVI is bradyarrhythmia resulting from high-grade atrioventricular block. Some patients in this situation may require permanent pacemaker (PM) implantation. In this case, we presented a case with symptomatic intermittent pauses and severe aortic stenosis, who underwent permanent PM implantation through the coronary sinus before TAVI due to a history of mechanical tricuspid and mitral valve replacement, and subsequently underwent successful TAVI. The patient remained stable with no periprocedural complications.
Fields of Study & Subjects
Cardiac Valve Diseases and Treatments
Cardiac pacing and defibrillation studies
Infective Endocarditis Diagnosis and Management
Publication details
- Journal / source
- Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology
- Volume
- 54
- Issue
- 3
- Pages
- 272–276
- Publication date
- 1 January 2026
- Language
- EN