case_images: PMC8616679_01
case_images: (a) An electrocardiogram performed before transcatheter aortic valve implantation (TAVI) shows sinus rhythm with second-degree AV block (Mobitz type 1), right bundle branch block, and left ventricular hypertrophy with repolarization abnormalities. (b) Post TAVI, a pacemaker check showed sinus rhythm with complete heart block.
case_images: CRIC2021-6529390.001.jpg
case_images: PMC8616679_02_CRIC2021-6529390.001.jpg
case_images: fig1
case_images: A temporary pacemaker check revealed ventricular paced rhythm (99.4%) with underlying sinus rhythm and complete heart block (Figure 1(b)).
case_images: (a) The parasternal long-axis view on transthoracic echocardiography shows bulky calcification of the aortic valve (arrow). (b) The apical five-chamber view on transthoracic continuous-wave Doppler analysis shows a mean gradient of 48 mmHg.
case_images: CRIC2021-6529390.002.jpg
case_images: PMC8616679_01_CRIC2021-6529390.002.jpg
case_images: fig2
case_images: Mild-to-moderate aortic valve regurgitation (Figure 2) also was seen.
case_images: This periprocedural fluoroscopic image shows deployment of a self-expanding TAVI Evolut PRO+ (Medtronic, Minneapolis, MN, USA) device at a depth of 3 mm in the aortic valve during rapid pacing.
case_images: CRIC2021-6529390.003.jpg
case_images: PMC8616679_01_CRIC2021-6529390.003.jpg
case_images: fig3
case_images: TAVI 26-mm Evolut PRO+ (Medtronic, Minneapolis, MN, USA) was deployed during rapid pacing at a depth of 3 mm in the aortic valve (Figure 3). This led to a marked improvement of the transvalvular gradient with only mild paravalvular aortic regurgitation.
case_images: PMC8616679_02
case_images: (a) An electrocardiogram performed before transcatheter aortic valve implantation (TAVI) shows sinus rhythm with second-degree AV block (Mobitz type 1), right bundle branch block, and left ventricular hypertrophy with repolarization abnormalities. (b) Post TAVI, a pacemaker check showed sinus rhythm with complete heart block.
case_images: CRIC2021-6529390.001.jpg
case_images: PMC8616679_02_CRIC2021-6529390.001.jpg
case_images: fig1
case_images: A temporary pacemaker check revealed ventricular paced rhythm (99.4%) with underlying sinus rhythm and complete heart block (Figure 1(b)).