ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Late atrioventricular block and permanent pacemaker implantation after heart transplantation [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2009; 37(8): 572-574

Late atrioventricular block and permanent pacemaker implantation after heart transplantation

Mustafa Akçakoyun1, Ahmet Duran Demir1, Mehmet Ali Özatık2, Şeref Küçüker2
1Department of Cardiology, Türkiye Yüksek İhtisas Heart Education and Research Hospital, Ankara
2Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital, Ankara

The need for permanent pacemaker implantation due to late atrioventricular (AV) block after heart transplantation is rare. A 59-year-old male patient underwent heart transplantation. He presented with syncope eight months after transplantation. Ambulatory 24-hour Holter monitoring showed predominant sinus rhythm with a mean heart rate of 74 bpm, intermittent second-degree AV block, and high-degree AV block with pauses of up to 10.6 seconds. Percutaneous transvenous endomyocardial biopsy yielded a histologic diagnosis of grade IA rejection according to the ISHLT (International Society of Heart and Lung Transplantation) scoring system. A permanent pacemaker with DDD-R mode was implanted via the left subclavian vein, and he was discharged on the following day without any complication.

Keywords: Bradycardia, heart block/therapy, heart transplantation, pacemaker, artificial; postoperative complications.

How to cite this article
Mustafa Akçakoyun, Ahmet Duran Demir, Mehmet Ali Özatık, Şeref Küçüker. Late atrioventricular block and permanent pacemaker implantation after heart transplantation. Turk Kardiyol Dern Ars. 2009; 37(8): 572-574

Corresponding Author: Mustafa Akçakoyun, Türkiye
Manuscript Language: English


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