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

Author:

Kibler Marion1ORCID,Marzak Halim1,Jesel Laurence12,Ohlmann Patrick1ORCID

Affiliation:

1. Université de Strasbourg, Pôle d’Activité Médico-Chirurgicale Cardio-Vasculaire, Nouvel Hôpital Civil, Centre Hospitalier Universitaire, BP 426 - 67091 Strasbourg, France

2. UMR 1260 INSERM Nanomédecine Régénérative Université de Strasbourg, Strasbourg, France

Abstract

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.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

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