Author/Authors :
Zeniou, Vicki Hadassah Hebrew University Medical Center, Jerusalem, Israel , Chen, Shmuel Hadassah Hebrew University Medical Center, Jerusalem, Israel , Shuvy, Mony Hadassah Hebrew University Medical Center, Jerusalem, Israel , Luria, David Hadassah Hebrew University Medical Center, Jerusalem, Israel , Lotan, Chaim Hadassah Hebrew University Medical Center, Jerusalem, Israel , Danenberg, Haim D. Hadassah Hebrew University Medical Center, Jerusalem, Israel
Abstract :
High precision is necessary during percutaneous transcatheter heart valve implantation. The precision of the implantation has
been established by increasing the heart rate (usually to 200 beats per minute) to the point of signi2cantly reduced cardiac output
and thus minimizing valve movement. Routinely, this tachycardia is induced by rapid pacing. Here we report a case of failure to
pace during valve-in-valve (VIV) Edwards Sapien XT implantation in the tricuspid valve position. Transient cardiac arrest was
induced by intravenous adenosine injection enabling accurate valve implantation.