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Case Reports in Cardiology
Volume 2017 (2017), Article ID 2760580, 3 pages
https://doi.org/10.1155/2017/2760580
Case Report

The Use of Adenosine to Enable Safe Implantation of Transcatheter Tricuspid Valve

Hadassah Hebrew University Medical Center, Jerusalem, Israel

Correspondence should be addressed to Vicki Zeniou

Received 30 July 2017; Accepted 14 September 2017; Published 16 November 2017

Academic Editor: Assad Movahed

Copyright © 2017 Vicki Zeniou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 significantly 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.