Late reversible complete atrioventricular block and PR interval
normalization occurring after an antegrade slow pathway ablation for the
treatment of atrioventricular nodal re-entrant tachycardia with
pre-existing PR prolongation
Abstract
Although late complete atrioventricular block (CAVB) is especially rare
as periprocedural complication of atrioventricular nodal re-entrant
tachycardia treatment, this complication can necessitate permanent
pacemaker implantation. The present case is that this late CAVB can be
caused only during periprocedural period by the indirect or functional
effects on the fast pathway of AV node because this case has paroxysmal
supra-ventricular tachycardia with pre-existing PR prolongation, and the
PR prolongation improved within normal PR interval after curing of the
late CAVB. Further, when the late CAVB occurs within a few weeks after
ablation, such bradyarrhythmia as periprocedural complication may be
reversible and indication of a permanent pacemaker implantation should
be carefully considered.