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Clinical Anesthesia pp 245–246Cite as

Case 74: Complete Heart Block During Central Line Placement

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Abstract

An 85-year-old man is scheduled for a mitral valve replacement. He is 180 lbs and 5′9″ (ASA 3). His past history includes hypertension, paroxysmal atrial fibrillation, and severe mitral stenosis. The ECG shows a sinus rhythm (SR) with a left bundle branch block (LBBB).

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References

  1. Unnikrishnan D, Idris N, Varshneya N. Complete heart block during central venous catheter placement in a patient with pre-existing left bundle branch block. Br J Anaesth. 2003;91:747–9.

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  2. Eissa NT, Kvetan V. Guide wire as a cause of complete heart block in patients with preexisting left bundle branch block. Anesthesiology. 1990;73(4):772.

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Authors and Affiliations

  1. Department of Anesthesia, Stanford University, Stanford, CA, USA

    John G. Brock-Utne MA, MD, PhD, FFA(SA)

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  1. John G. Brock-Utne MA, MD, PhD, FFA(SA)
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Brock-Utne, J.G. (2017). Case 74: Complete Heart Block During Central Line Placement. In: Clinical Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-319-71467-7_74

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  • DOI: https://doi.org/10.1007/978-3-319-71467-7_74

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71466-0

  • Online ISBN: 978-3-319-71467-7

  • eBook Packages: MedicineMedicine (R0)

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