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Updated: Mar 21, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Bundle-branch reentry ventricular tachycardia after transcatheter aortic valve replacement
Adriana de la Rosa Riestra1, José Amador Rubio Caballero1, Alfonso Freites Estévez1
1Cardiology Unit, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain.
Abstract:
An 83-year-old male suffering from severe symptomatic aortic valve stenosis received an implant of a biological aortic prosthesis through the femoral artery without complications. Seven days after dischargement he experienced a syncope. The patient was wearing an ECG holter monitor that day, which showed a wide QRS complex tachycardia of 300 beats per minute. The electrophysiological study revealed a bundle-branch reentry ventricular tachycardia as the cause of the syncope. Radio-frequency was applied on the right-bundle branch. Twelve months later, the patient has remained asymptomatic.
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