Asymptomatic Permanent Left Bundle Branch Block (LBBB) complicating Diagnostic Left Heart Catheterisation
Journal Title: Sultan Qaboos University Medical Journal - Year 2010, Vol 10, Issue 1
Abstract
Tis case report describes a routine diagnostic left heart catheterisation (coronary angiography, aortography and left ventriculography) procedure at Sultan Qaboos University Hospital, Oman, which was complicated by the development of new asymptomatic, but permanent, left bundle branch block that was observed incidentally towards the end of the procedure. Te patient was completely asymptomatic and haemodynamically stable throughout the procedure and afterwards. Urgent investigations, immediately after the procedure, including routine blood, serial cardiac troponin I, serial electrocardiograms, chest X-ray, and urgent echocardiography were normal and failed to show any possible causation of the LBBB. Te results of left heart catheterisation showed two vessel coronary artery disease and severe mitral valve regurgitation. After eight days, the patient went on to have coronary artery bypass surgery and mitral valve replacement surgery both of which were successful. To the best of our knowledge, this is the frst case report to describe the occurrence of permanent LBBB after left heart catheterisation. Tis report describes the case and reviews the literature for the incidence and implications of such a complication.
Authors and Affiliations
Hafdh Al-Hadi| Cardiology Unit, Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman, Mansour Sallam| Cardiology Unit, Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman
Keywords
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