{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T05:14:59Z","timestamp":1788498899215,"version":"build-2803163510"},"reference-count":10,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transcatheter Aortic Valve Replacement (TAVR) carries a notable risk of conduction system injury. While most atrioventricular (AV) blocks occur early, predictors of late\u2010onset AV block and its latest timing remain uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Summary<\/jats:title>\n                    <jats:p>A 63\u2010year\u2010old man who developed complete AV block 17 months after TAVR (Evolut\u2010R 29\u00a0mm). Serial electrocardiograms showed progressive warning signs: left anterior fascicular block at one month, complete left bundle branch block (LBBB) with first\u2010degree AV block at one year, and, ultimately, complete AV block. Electrophysiological study demonstrated AH and HV intervals of 75\u00a0ms and 78\u00a0ms, respectively. Prolonged ambulatory monitoring revealed intermittent high\u2010grade AV block. The patient underwent left bundle branch pacing (LBBP), which provided physiologic ventricular activation and corrected the conduction abnormalities; symptoms resolved and pacing parameters remained stable on follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Complete AV block can present extremely late after TAVR. Even subtle ECG abnormalities should be regarded as warning signs and prompt prolonged rhythm surveillance. LBBP is a physiologic pacing strategy that can both ensure reliable pacing and restore ventricular conduction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.70215","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T14:21:18Z","timestamp":1773757278000},"page":"1324-1327","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Extremely Late Complete AV Block After TAVR: ECG Clues and Correction With Left Bundle Branch Pacing"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4530-7405","authenticated-orcid":false,"given":"Ngoc Dung","family":"Kieu","sequence":"first","affiliation":[{"name":"Department of Arrhythmology Cho Ray Hospital  Ho Chi Minh city Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3837-5242","authenticated-orcid":false,"given":"Cao Dat","family":"Tran","sequence":"additional","affiliation":[{"name":"Department of Arrhythmology Cho Ray Hospital  Ho Chi Minh city Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6313-8379","authenticated-orcid":false,"given":"Le Uyen Phuong","family":"Tran","sequence":"additional","affiliation":[{"name":"Department of Arrhythmology Cho Ray Hospital  Ho Chi Minh city Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5526-341X","authenticated-orcid":false,"given":"Hoang Tai My","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department Cho Ray Hospital  Ho Chi Minh city Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8810-4614","authenticated-orcid":false,"given":"Thai Duy","family":"Vo","sequence":"additional","affiliation":[{"name":"Department of Arrhythmology Cho Ray Hospital  Ho Chi Minh city Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrcr.2017.11.010"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2026.1703981"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hroo.2021.11.001"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29309"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ\u2010D\u201024\u201000850"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjqcco\/qcaa089"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/jaha.121.020906"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.02.068"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.12638"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2024.10.038"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70215","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.70215","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70215","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T04:23:55Z","timestamp":1788495835000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.70215"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,17]]},"references-count":10,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/pace.70215"],"URL":"https:\/\/doi.org\/10.1111\/pace.70215","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,17]]},"assertion":[{"value":"2025-09-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}